Organization
CONVENIENCE CLINICS OF AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EVAN KRAUSE M.D. (PRESIDENT)
(304) 424-4150
Entity
Organization
Contact information
Practice address
2107 PIKE ST STE 5, PARKERSBURG, WV 26101-6973
(304) 424-4150
(304) 424-4151
Mailing address
1905 ANN ST, PARKERSBURG, WV 26101-2504
(304) 424-4150
(304) 424-4151
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
WV20217
WV
Other
Enumeration date
01/24/2008
Last updated
06/03/2008
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