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Central WV Medcorp, Inc

Organization Active NPI Clinical Medical Laboratory · Buckhannon, WV

NPI 1124297346 · NPPES record last updated May 7, 2024

Key facts

NPI
1124297346
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
CENTRAL WV MEDCORP, INC
Practice address
11 N Locust St
Buckhannon, WV 26201-2231
Phone
(304) 472-4968
Fax
(304) 472-6382
NPI assigned
Feb 21, 2008
Organization subpart
No

Authorized official

Name
Dr. Richard Edward Piccirillo, M.D.
Title
President
Phone
(304) 636-7451

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Central WV Medcorp Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X WV Yes

Addresses

Primary practice location

11 N Locust St
Buckhannon, WV 26201-2231

Mailing address

P.O. Box 2630
Central WV Medcorp, Inc.
Elkins, WV 26241-2630
Phone (304) 637-3799

Other identifiers

IdentifierTypeStateIssuer
0009078001MedicaidWV
51D0915651OtherWVCLIA NUMBERS
51D1062732OtherWVCLIA NUMBER
51D1017352OtherWVCLIA NUMBER
51D1061952OtherWVCLIA NUMBER
51D1070912OtherWVCLIA NUMBER
51D1082791OtherWVCLIA NUMBER

Other names

  • CENTRAL WVMEDCORP LOC LAB Doing business as

Other providers in Buckhannon, WV

All providers in Buckhannon, WV · Clinical Medical Laboratory in West Virginia

Sources for this page

Verify at the official NPI Registry.