NPI 1669664231

P.R.I.D.E. INC.

Organisation Preferred Provider Organization Logan, WV

Practice location

Address: 699 Stratton St, Logan, WV 25601-4020
Phone: (304) 752-6868
Fax: (304) 752-1047
Mailing address: PO Box 1346, Logan, WV 25601-1346

Authorised official

Name: Brenda York
Title: Billing Clerk
Phone: (304) 752-6868

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in West Virginia →

Registry record

NPI: 1669664231
Entity type: Organization
NPI issued: 16 Aug 2007
Record last updated: 16 Aug 2007

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.