MEDICARE: REECE ROWAN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1659262087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REECE ROWAN

Provider Business Mailing Address
First Line	:	516 CENTER ST
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-4705
Country	:	US
Telephone Number	:	304-661-1383
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 SCOTT AVE STE 401
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-8857
Country	:	US
Telephone Number	:	304-292-1716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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