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NPI Code Detail

MEDICARE: COMMUNICATION STATION, INC.

MEDICARE: COMMUNICATION STATION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency0989WV

General Provider Information

NPI Number : 1780068007
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNICATION STATION, INC.
Provider Business Mailing Address
First Line : 6979 TEAYS VALLEY RD
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-7097
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6979 TEAYS VALLEY RD
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-7097
Country : US
Telephone Number : 304-634-4085
Fax Number : 803-932-9618
Authorized Official
Title or Position : OWNER
Name : AUTUMN MURDOCH
Credential :
Telephone Number : 304-634-4085
Provider Enumeration Date : 07/16/2015
Last Update Date : 01/10/2024

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Directions to “COMMUNICATION STATION, INC. ” Practice Location

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