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Organization

STANLEY T. DAY

Active
Other names
Family Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY TYLER DAY M.D. (OWNER)
(304) 466-2501
Entity
Organization

Contact information

Practice address
197 PLEASANT ST, HINTON, WV 25951-2540
(304) 466-2501
(304) 466-2513
Mailing address
PO BOX 179, NIMITZ, WV 25978-0179
(304) 466-2501
(304) 466-2513

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13118
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034320000
WV
05
0056758000
WV
Enumeration date
03/19/2007
Last updated
06/20/2008
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