Organization
SUMMERSVILLE OUTPATIENT CENTER
Active
Other names
Ansted Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LOVELL (CFO)
(304) 872-2891
Entity
Organization
Contact information
Practice address
100 FLORENCE STREET, ANSTED, WV 25812
(304) 883-0220
(304) 872-8417
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 883-0220
(304) 872-8417
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WV
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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