# ALLEGHANY MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rupert Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518970243
- **Authorized official:** J JORGE GORDINHO MD (SUPERVISOR PHYSICIAN OWNER)
- **Authorized official phone:** (304) 254-9022

## Contact information

- **Practice address:** 1109 GREENBIER ST, RUPERT, WV 25984
- **Practice address phone:** (304) 392-5381
- **Practice address fax:** (304) 392-5351
- **Mailing address:** 310 GEORGE ST, BECKLEY, WV 25801-2653
- **Mailing address phone:** (304) 254-9022
- **Mailing address fax:** (304) 254-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/16/2008