Organization
UNITED PHYSICIANS CARE INC
Active
Other names
Pinewood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C FORESTER (CHIEF EXECUTIVE OFFICER)
(304) 624-4655
Entity
Organization
Contact information
Practice address
401 N PIKE ST, GRAFTON, WV 26354-1268
(304) 265-1350
(304) 265-0295
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D0236457
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034561003
—
WV
Enumeration date
12/01/2006
Last updated
01/08/2009
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