# PRINCETON COMMUNITY HOSPITAL ASSN., INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Athens Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972610863
- **Authorized official:** MR. OMAR R KASSEM MD (PHYSICIAN)
- **Authorized official phone:** (304) 384-7325

## Contact information

- **Practice address:** 401 VERMILLION ST., ATHENS, WV 24712
- **Practice address phone:** (304) 384-7325
- **Practice address fax:** (304) 384-8870
- **Mailing address:** PO BOX 697, ATHENS, WV 24712-0697
- **Mailing address phone:** (304) 384-7325
- **Mailing address fax:** (304) 384-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20079 | WV | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 12/08/2023