Organization
EMERGI-CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE COLLANTES STA ANA JR. M.D. (PRESIDENT)
(304) 757-8683
Entity
Organization
Contact information
Practice address
1100 HOSPITAL DR, HURRICANE, WV 25526-8712
(304) 757-8683
(304) 757-8684
Mailing address
1100 HOSPITAL DR, HURRICANE, WV 25526-8712
(304) 757-8683
(304) 757-8684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11628
WV
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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