NPI 1700320579

Activate Healthcare - Constellium

Organisation Primary Care Clinic/Center Ravenswood, WV

Practice location

Address: 859 Century Road, Ravenswood, WV 26164-0068
Phone: (304) 273-6261
Fax: (304) 273-6549

Authorised official

Name: Debra Geihsler
Title: Principal
Phone: (773) 697-3144

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1700320579
Entity type: Organization
NPI issued: 13 Dec 2016
Record last updated: 13 Dec 2016

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.