NPI 1417249459

St. Albans Integrative Health Center

Organisation Health Maintenance Organization Saint Albans, WV

Practice location

Address: 200 Main St, Saint Albans, WV 25177-2802
Phone: (304) 201-3600
Fax: (304) 201-2368
Mailing address: 552 Box, St. Albans, WV 25177

Authorised official

Name: Rudolph Michael Kevak
Title: Owner
Phone: (304) 201-3600

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 18688 (WV)

Other Health Maintenance Organization providers in West Virginia →

Registry record

NPI: 1417249459
Entity type: Organization
NPI issued: 10 May 2011
Record last updated: 10 May 2011

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.