Absolute Care Clinic
Organization Active NPI Clinic/Center · Logan, WV
NPI 1104346204 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104346204
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 20596 (WV)
- Legal business name
- ABSOLUTE CARE CLINIC
- Practice address
- 112 Bridge St
Logan, WV 25601-3602 - Phone
- (304) 896-5025
- Fax
- (304) 896-5058
- NPI assigned
- Jun 21, 2017
- Organization subpart
- No
Authorized official
- Name
- M Anwar Yahya Abdeen, MD
- Title
- MD
- Phone
- (304) 546-1768
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2134141 | Absolute Care Clinic | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 20596 | WV | Yes |
Addresses
Primary practice location
112 Bridge St
Logan, WV 25601-3602
Mailing address
112 Bridge St
Logan, WV 25601-3602
Phone (304) 896-5025
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.