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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