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Mercer County Health Department

Clinic/Center, Primary Care in Bluefield, WV. Organization (NPI-2).

NPI number1861696601
StatusActive
Last updated in NPPESMar 24, 2015

Details

NPI
1861696601
Entity type
Organization (NPI-2)
Legal business name
Mercer County Health Department
Organization subpart
No
Enumeration date
Jun 14, 2007
Last updated
Mar 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

978 Blue Prince Rd
Bluefield, WV 24701-5074

Phone 304-324-8367 · Fax 304-324-8843

Mailing address

978 Blue Prince Rd
Bluefield, WV 24701-5074

Phone 304-324-8367 · Fax 304-324-8843

Authorized official

Phyllis Susan Kadar
Administrator
3043248367

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