Wv Phs Medical Corporation

NPI #1881907004 in Charleston, West Virginia

Provider Information

NPI Number: 1881907004
Entity Type: Organization
Organization Name: Wv Phs Medical Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDER HEALTH SERVICES LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 16, 2010
Last Updated: Jul 2, 2014

Practice Location

Address: 200 ASSOCIATION DR
Address 2: SUITE 140
City: Charleston
State: West Virginia
ZIP Code: 25311-1278
Phone: (901) 261-4858

Authorized Official

Name: NICOLE HOWARD
Title: CFO
Phone: (337) 991-9276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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