Organization
ISLAND MEDICAL BLUEFIELD LLC
Active
Parent organization
ISLAND MEDICAL BLUEFIELD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND MEDICAL BLUEFIELD LLC
Authorized official
CHARLES WOLF (CFO)
(330) 656-5911
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701
(304) 327-1771
Mailing address
PO BOX 74622, CLEVELAND, OH 44194-0002
(330) 656-5911
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
06/11/2018
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