Organization
ACTIVATE HEALTHCARE - CONSTELLIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (PRINCIPAL)
(773) 697-3144
Entity
Organization
Contact information
Practice address
859 CENTURY ROAD, RAVENSWOOD, WV 26164-0068
(304) 273-6261
(304) 273-6549
Mailing address
859 CENTURY ROAD, RAVENSWOOD, WV 26164-0068
(304) 273-6261
(304) 273-6549
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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