Organization
ALPHA CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAI LOUISE SMYTHE M.D. (PRESIDENT/OWNER)
(304) 720-2017
Entity
Organization
Contact information
Practice address
4813 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(304) 720-2017
(304) 720-0888
Mailing address
PO BOX 4047, CHARLESTON, WV 25364-4047
(304) 720-2017
(304) 720-0888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20569
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806389000
—
WV
Enumeration date
11/01/2006
Last updated
02/08/2008
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