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General NPI Number Information
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NPI Number | 1265530943
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Entity Type | Organization
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Legal Business Name | BLUEFIELD REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3720 COAL HERITAGE ROAD
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City | BLUEFIELD
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State | WV
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Zip | 24701-3306
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Country | US
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Telephone | 304-324-2600
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Fax | 304-324-2628
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Provider Business Mailing Address
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Address Line | PO BOX 1070
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City | BLUEFIELD
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State | WV
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Zip | 24701-1070
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARON L WHITTEKER
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Credential |
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Telephone | 304-327-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 19
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License Number State | WV
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