Organization
ALLEGHANY MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JORGE GORDINHO M.D. (PRESIDENT-OWNER)
(304) 254-9022
Entity
Organization
Contact information
Practice address
101 MAIN ST, MAN, WV 25635-1211
(304) 583-2464
(304) 583-2908
Mailing address
310 GEORGE ST, BECKLEY, WV 25801-2653
(304) 254-9022
(304) 254-9024
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072202000
—
WV
05
—
3810007534
—
WV
01
—
CK7027
RAILROAD MEDICARE
WV
01
—
P00177367
RAILRAOD MEDICARE
WV
Enumeration date
11/13/2006
Last updated
07/12/2011
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