Organization
HEALTH CARE ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L. DABBS M.D. (AUTHORIZED REPRESENTATIVE)
(865) 693-1000
Entity
Organization
Contact information
Practice address
105 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-6600
Mailing address
PO BOX 634714, CINCINNATI, OH 45263-4714
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710515
WEST VIRGINIA BLUE SHIELD
—
05
—
0206584-000
—
WV
Enumeration date
06/05/2006
Last updated
05/20/2008
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