Organization
NEW CENTURY MEDICAL OBSERVATION SERVICES OF WEST VIRGINIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 875-0136
Entity
Organization
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4170
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001762398
BLUE CROSS BLUE SHIELD
WV
01
—
150778001
FEDERAL BLACK LUNG
WV
05
—
3810003355
—
WV
01
—
610274000
FECA
WV
01
—
7009670
AETNA
WV
Enumeration date
01/13/2006
Last updated
03/08/2010
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