NPI 1770792772

Primecare Medical of West Virginia, INC.

Organisation Health Maintenance Organization Harrisburg, PA

Practice location

Address: 3940 Locust Ln, Harrisburg, PA 17109-4023
Phone: (171) 545-5787
Fax: (717) 545-5491

Authorised official

Name: Derek Hughes
Title: Director of Operations
Phone: (717) 545-5787

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1770792772
Entity type: Organization
NPI issued: 22 May 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.