Organization
CENTRAL WV MEDCORP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA J. HAMMER (CFO)
(304) 637-3156
Entity
Organization
Contact information
Practice address
911 GORMAN AVE, SUITE 201, ELKINS, WV 26241-3082
(304) 637-6302
(304) 637-6307
Mailing address
911 GORMAN AVE, SUITE 201, ELKINS, WV 26241-3082
(304) 637-6302
(304) 637-6307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69937
WV
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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