State of West Virginia

Practice location

Address

105 S Eisenhower Dr, Beckley, WV 25801-4929

Phone

(304) 256-6600

Fax

(304) 250-6554

Authorised official

Name

Carla Jean Parent

Title

Chief Financial Officer

Phone

(304) 256-6600

Registered specialties

Registry record

NPI

1619969706

Entity type

Organization

NPI issued

16 Aug 2005

Record last updated

5 Feb 2010

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.