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Organization

PRINCETON COMMUNITY HOSPITAL ASSN., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE LYNN SPENCER (CHIEF FINANCIAL OFFICER)
(304) 487-7505
Entity
Organization

Contact information

Practice address
510 CHERRY ST, SUITE 102, BLUEFIELD, WV 24701-3338
(304) 327-1775
Mailing address
118 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 431-5168
(615) 465-3007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208800000X
Urology Physician

Other

Enumeration date
08/27/2010
Last updated
05/31/2022
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