Organization
CHEROKEE EMERGENCY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL L. DABBS MD (AUTHORIZED OFFICIAL)
(865) 293-5210
Entity
Organization
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Mailing address
PO BOX 634690, CINCINNATI, OH 45263-4690
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206789000
—
WV
Enumeration date
06/05/2006
Last updated
11/17/2020
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