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NPI Code Detail

MEDICARE: HUNTINGTON TREATMENT CENTER

MEDICARE: HUNTINGTON TREATMENT CENTER
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
1363LF0000XFamily Nurse Practitioner38147WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138147OTHERWVSTATE LICENSURE

General Provider Information

NPI Number : 1629299581
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTINGTON TREATMENT CENTER
Provider Business Mailing Address
First Line : 135 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1219
Country : US
Telephone Number : 304-525-5691
Fax Number :
Provider Business Practice Location Address
First Line : 135 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1219
Country : US
Telephone Number : 304-525-5691
Fax Number : 304-525-5693
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : MRS. CONNIE M MORGAN
Credential : NURSE PRACTITIONER
Telephone Number : 304-529-0386
Provider Enumeration Date : 05/01/2007
Last Update Date : 09/17/2008

Similar Medicare Providers

1669112330 — MRS. DANIELLE LEE WOODS-HUFFMAN LGSW
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax:
1255349445 — HUNTINGTON TREATMENT CENTER, LLC
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135 4TH AVE
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1639390347 — ANDREA NICOLE PRITCHARD LPN
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25701-1219
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1962623694 — LISA ANN COPLEY LPN
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax:
1548481278 — MS. NANCY ANN PRICE MA, LSW
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
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Practice Fax: 304-781-1021
1235350174 — MR. JAMES ROBERT MYERS MA, CCM
Practice Location Address:
135 4TH AVE
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25701-1219
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Directions to “HUNTINGTON TREATMENT CENTER ” Practice Location

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