NPI 1417071812

New Covenant Pediatric Center, PLLC

Organisation Primary Care Clinic/Center Lewisburg, WV

Practice location

Address: Rr 2 Box 375g, Lewisburg, WV 24901-9346
Phone: (304) 645-8009
Fax: (304) 645-8011
Mailing address: 360 Washington Street, West, Lewisburg, WV 24901

Authorised official

Name: Timothy J York
Title: Owner
Phone: (304) 645-8009

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 1878 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1417071812
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.