# CENTER FOR ALTERNATIVE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Alternative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992923734
- **Authorized official:** DR. JOHN PATRICK MACCALLUM MD (PHYSICIAN)
- **Authorized official phone:** (304) 757-3368

## Contact information

- **Practice address:** 300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
- **Practice address phone:** (304) 757-3368
- **Practice address fax:** (304) 757-2402
- **Mailing address:** 300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
- **Mailing address phone:** (304) 757-3368
- **Mailing address fax:** (304) 757-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 10463012 | WV | — |
| 207Q00000X | Family Medicine Physician | 10463012 | WV | Yes |
| 2084P0800X | Psychiatry Physician | 10463012 | WV | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 11/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001710972 | BLUE CROSS BLUE SHIELD | WV |
| 05 | — | 0116818000 | — | WV |