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Organization
GREENBRIER CARE LLC
Active
Organization
GREENBRIER CARE LLC
Active
Parent organization
GREENBRIER CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENBRIER CLINIC, INC.
Authorized official
DR. RICHARD B KLINE M.D. (PHYSICIAN)
(304) 536-4870
Entity
Organization
Contact information
Practice address
167 KATES MOUNTAIN ROAD, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Mailing address
167 KATES MOUNTAIN ROAD, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11804
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02007626
BLUECROSS/BLUESHIELD
WV
01
—
345877
ANTHEM
VA
01
—
DG9945
RAILROAD PTAN
WV
Enumeration date
10/05/2007
Last updated
09/24/2013
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