# RICHWOOD FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMERSVILLE OUTPATIENT CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285895433
- **Legal business name:** SUMMERSVILLE OUTPATIENT CENTER
- **Authorized official:** MS. DEBORAH A HILL RN (CEO)
- **Authorized official phone:** (304) 872-2891

## Contact information

- **Practice address:** 74 AVE B, RICHWOOD, WV 26261-0000
- **Practice address phone:** (304) 872-8434
- **Practice address fax:** (304) 872-8417
- **Mailing address:** 74 AVE B, RICHWOOD, WV 26261-0000
- **Mailing address phone:** (304) 872-8434
- **Mailing address fax:** (304) 872-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 06/20/2008