MEDICARE: PINCH ANESTHESIA ASSOCIATES,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
1	282N00000X	General Acute Care Hospital	18008	WV

General Provider Information

NPI Number	:	1235229501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINCH ANESTHESIA ASSOCIATES,INC.

Provider Business Mailing Address
First Line	:	11 GRAYSTONE EST
Second Line	:
City	:	ELKVIEW
State	:	WV
Zip	:	25071-9400
Country	:	US
Telephone Number	:	304-965-7728
Fax Number	:	304-965-7728

Provider Business Practice Location Address
First Line	:	11 GRAYSTONE EST
Second Line	:
City	:	ELKVIEW
State	:	WV
Zip	:	25071-9400
Country	:	US
Telephone Number	:	304-965-7728
Fax Number	:	304-965-7728

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CARL ALBERT WHEELER
Credential	:	C.R.N.A.
Telephone Number	:	304-965-7728

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	09/23/2008

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