Organization
ROANE COUNTY FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY MINCEY (MED STAFF COORDINATOR)
(304) 927-8143
Entity
Organization
Contact information
Practice address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-8143
(304) 927-8198
Mailing address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-8143
(304) 927-8198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75190
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035046000
—
WV
Enumeration date
10/14/2016
Last updated
10/14/2016
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