# SUMMERSVILLE OUT PATIENT CENTER

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

## Provider details

- **NPI number:** 1750378345
- **Authorized official:** DEBBIE HILL MBA (CEO)
- **Authorized official phone:** (304) 872-8402

## Contact information

- **Practice address:** 400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
- **Practice address phone:** (304) 872-5124
- **Practice address fax:** (304) 872-0675
- **Mailing address:** 400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
- **Mailing address phone:** (304) 872-5124
- **Mailing address fax:** (304) 872-0675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 61 | WV | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | 61 | WV | — |
| 291U00000X | Clinical Medical Laboratory | 51D0933140 | WV | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 09/22/2010