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Organization

GENERATIONS R.C., INC.

Active
Other names
Phys. Ctr. of Scott-Teays
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DELORIS S BENTLEY (EXECUTIVE VP - BUSINESS OPERATIONS)
(606) 473-1080
Entity
Organization

Contact information

Practice address
3705 TEAYS VALLEY RD, SUITE 100, HURRICANE, WV 25526-9645
(304) 757-2500
(304) 757-2586
Mailing address
PO BOX 687, GREENUP, KY 41144-0687
(606) 473-1080
(606) 473-5875

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1707207
BLUE CROSS BLUE SHIELD
WV
05
3810000-212
WV
01
CN7183
RAILROAD MEDICARE
Enumeration date
12/20/2006
Last updated
04/20/2008
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