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General NPI Number Information
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NPI Number | 1588485478
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Entity Type | Organization
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Legal Business Name | CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 3115 SENECA TRL S
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City | PETERSTOWN
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State | WV
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Zip | 24963-5040
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Country | US
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Telephone | 304-753-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ASSOCIATION DR STE 102
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City | CHARLESTON
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State | WV
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Zip | 25311-1298
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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 | VP OF FINANCE
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Name | CHAD HOVIS
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Credential |
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Telephone | 304-388-6251
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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 |
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License Number State |
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