Organization
THREE RIVERS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY DAWN HUFFMAN (OFFICE MGR / PRESIDENT)
(304) 309-4143
Entity
Organization
Contact information
Practice address
158 HINTON BYP, HINTON, WV 25951-9184
(304) 309-4143
(304) 309-4146
Mailing address
158 HINTON BYP, HINTON, WV 25951-9184
(304) 309-4143
(304) 309-4146
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/25/2020
Last updated
03/09/2021
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