Organization
JEFFERSON URGENT CARE, LLC
Active
Other names
Jefferson Urgent Care, LLC (LAB)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE C BAILEY (PRACTICE MANAGER)
(304) 728-8543
Entity
Organization
Contact information
Practice address
84 SOMERSET BLVD, CHARLES TOWN, WV 25414-4827
(304) 728-8543
(304) 728-8644
Mailing address
84 SOMERSET BLVD, CHARLES TOWN, WV 25414-4827
(304) 728-8543
(304) 728-8644
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010901002
—
WV
Enumeration date
11/09/2006
Last updated
08/22/2020
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