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APPALACHIANWELLNESS CLINIC INC NPI 1427563238


NPI Information

NPI: 1427563238
Provider Name: APPALACHIANWELLNESS CLINIC INC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 51D2167647

Address:
425 STANAFORD RD
BECKLEY, WV
ZIP 25801
Phone: (304) 222-5817
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APPALACHIANWELLNESS CLINIC INC is an addiction medicine family medicine in Beckley, WV. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. APPALACHIANWELLNESS CLINIC INC NPI is 1427563238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

425 STANAFORD RD
BECKLEY, WV
ZIP 25801-145
Phone: (304) 222-5817

The provider's authorized official is Maryam Jafary Rana .
The authorized official title is Physician Assistant and has the following contact phone number (304) 222-5817.

The CLIA number assigned to this NPI record is 51D2167647 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 3/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.