Healthcare Provider Details
I. General information
NPI: 1700263100
Provider Name (Legal Business Name): WEST VIRGINIA COMPREHENSIVE HOSPITALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2015
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 CHERRY ST
BLUEFIELD WV
24701-3306
US
IV. Provider business mailing address
300 S PARK RD SUITE 400
HOLLYWOOD FL
33021-8593
US
V. Phone/Fax
- Phone: 304-327-1100
- Fax:
- Phone: 877-693-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
S.
SCHILLINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 877-693-5700