Organization
PRIME HEALTH ASSOCIATES
Active
Other names
BEAVER FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELLA N ZINZUWADIA MD (PRESIDENT)
(304) 255-1300
Entity
Organization
Contact information
Practice address
703 RITTER DRIVE, BEAVER, WV 25813
(304) 255-1300
(304) 255-5391
Mailing address
PO BOX 550, BEAVER, WV 25813-0550
(304) 255-1300
(304) 255-5391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207791000
—
WV
01
—
DA4369
RR MEDICARE GROUP NUMBER
WV
Enumeration date
10/25/2005
Last updated
01/25/2008
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