Organization
NORTHERN GREENBRIER HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CURRY (CEO)
(304) 645-7872
Entity
Organization
Contact information
Practice address
RT 219 NORTH, HILLSBORO, WV 24946-0470
(304) 653-4209
(304) 653-4233
Mailing address
PO BOX 10, WILLIAMSBURG, WV 24991-0010
(304) 645-7872
(304) 645-7873
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009778
—
WV
01
—
511928
FQHC MEDICARE
WV
01
—
51D0685085
CLIA
WV
01
—
731098
CARELINK
WV
01
—
N051119281
PALMETTO GBA
WV
Enumeration date
05/14/2007
Last updated
03/31/2010
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