Healthcare Provider Details

I. General information

NPI: 1366446015
Provider Name (Legal Business Name): BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MCCLELLAN RD
PHILIPPI WV
26416-8076
US

IV. Provider business mailing address

116 MCCLELLAN RD
PHILIPPI WV
26416-8076
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-2800
  • Fax: 304-457-4011
Mailing address:
  • Phone: 304-457-2800
  • Fax: 304-457-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LYNN COLLINS
Title or Position: OFFICE MANAGER
Credential:
Phone: 304-457-2800