# REGIONAL FAMILY MEDICINE, INC

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

## Provider details

- **NPI number:** 1942458039
- **Authorized official:** COLIN A ROSE M.D. (PRESIDENT)
- **Authorized official phone:** (304) 645-4043

## Contact information

- **Practice address:** 406NICHOLAS STREET, RUPERT, WV 25984
- **Practice address phone:** (304) 645-4043
- **Practice address fax:** (304) 645-4713
- **Mailing address:** PO BOX 1049, LEWISBURG, WV 24901-4049
- **Mailing address phone:** (304) 645-4043
- **Mailing address fax:** (304) 645-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 16231 | WV | Yes |
| 208D00000X | General Practice Physician | 17710 | WV | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 06/01/2010