Organization
NEW COVENANT PEDIATRIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J YORK DO (OWNER)
(304) 645-8009
Entity
Organization
Contact information
Practice address
RR 2 BOX 375G, LEWISBURG, WV 24901-9346
(304) 645-8009
(304) 645-8011
Mailing address
360 WASHINGTON STREET, WEST, LEWISBURG, WV 24901
(304) 645-8009
(304) 645-8011
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1878
WV
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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