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NPI Code Detail

MEDICARE: HAHN MEDICAL PRACTICES, INC.

MEDICARE: HAHN MEDICAL PRACTICES, 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
1207NS0135XProcedural Dermatology Physician15226WV
2207Q00000XFamily Medicine Physician15226WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000180632OTHERWVWV BLUE SHIELD

General Provider Information

NPI Number : 1083606230
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAHN MEDICAL PRACTICES, INC.
Provider Business Mailing Address
First Line : PO BOX 599
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-0599
Country : US
Telephone Number : 304-538-2331
Fax Number : 304-538-2533
Provider Business Practice Location Address
First Line : 422 S MAIN ST
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1238
Country : US
Telephone Number : 304-538-2331
Fax Number : 304-538-2533
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CHRISTOPHER L. HAHN
Credential :
Telephone Number : 304-822-8134
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/02/2010

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Directions to “HAHN MEDICAL PRACTICES, INC. ” Practice Location

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