Organization
ALLEGHANY MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE JORGE GORDINHO M.D. (OWNER/PRESIDENT)
(304) 254-9022
Entity
Organization
Contact information
Practice address
2962 ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 254-9022
(304) 254-9024
Mailing address
2962 ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 254-9022
(304) 254-9024
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WV
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072202000
—
WV
05
—
3810006041
—
WV
01
—
CK7027
RAILROAD MEDICARE
WV
01
—
P00177367
RAILROAD MEDICARE
WV
Enumeration date
08/31/2006
Last updated
06/24/2015
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