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Organization

GREENBRIER CARE LLC

Active
Parent organization
GREENBRIER CLINIC, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREENBRIER CLINIC, INC.
Authorized official
DR. RICHARD B KLINE M.D. (PHYSICIAN)
(304) 536-4870
Entity
Organization

Contact information

Practice address
167 KATES MOUNTAIN ROAD, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Mailing address
167 KATES MOUNTAIN ROAD, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11804
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02007626
BLUECROSS/BLUESHIELD
WV
01
345877
ANTHEM
VA
01
DG9945
RAILROAD PTAN
WV
Enumeration date
10/05/2007
Last updated
09/24/2013
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