Prime Health Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRIME HEALTH ASSOCIATES

Doing business as

BEAVER FAMILY CLINIC

Practice address

703 Ritter Drive
Beaver, WV 25813

Phone

(304) 255-1300

Fax

(304) 255-5391

NPI assigned

Oct 25, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bella N Zinzuwadia, MD

Title

President

Phone

(304) 255-1300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BEAVER FAMILY CLINIC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1073503637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258130550",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RITTER DRIVE",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "25813",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "ZINZUWADIA",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-255-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "DA4369",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207791000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAVER FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Beaver, WV
• Providers in Beaver, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.