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Organization

VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)

Active
Other names
Holy Family Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORINO D. CHIN M.D. (MEDICAL DOCTOR)
(304) 845-1460
Entity
Organization

Contact information

Practice address
1110 2ND ST, MOUNDSVILLE, WV 26041-1451
(304) 845-1460
Mailing address
PO BOX N, MOUNDSVILLE, WV 26041-0964
(304) 845-1460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10205
WV
207Q00000X
Family Medicine Physician
35035509C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007241000
WV
05
0169884
OH
01
021029481
RAILROAD MEDICARE
OH
Enumeration date
11/07/2007
Last updated
07/09/2008
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