# SUMMERSVILLE FAMILY MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437426780
- **Authorized official:** RICHARD S TRENBATH M.D. (PRESIDENT)
- **Authorized official phone:** (304) 645-4043

## Contact information

- **Practice address:** 211 MERCHANTS WALK, SHOPPING CENTER, SUMMERSVILLE, WV 26651-1901
- **Practice address phone:** (304) 645-4043
- **Mailing address:** PO BOX 1049, LEWISBURG, WV 24901-4049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12758 | WV | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 12758 | WV | — |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 10/10/2016