Family Medical Kare

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FAMILY MEDICAL KARE

Practice address

RR 3 Box 9
Fayetteville, WV 25840-9505

Phone

(304) 574-2600

Fax

(304) 574-2951

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Geneva L Lynch

Title

Office Manager

Phone

(304) 253-5793

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen L. Pettry-Hultman, DO

  • Family Medicine Physician
  • Fayetteville, WV
  • NPI 1447241310
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1558533836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270787",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 9",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258409505",
            "telephone_number": "304-574-2600",
            "fax_number": "304-574-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL KARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-253-5793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004463",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Pet Dinehart
• Heidi E Dolin, FNP
• Lisa Edwards
• Roni Fair
• Patsy J Fairchild, PA-C
• Family Vision Care Inc
• Chloe A Farris
• Fayette County Board of Education
• Fayette County Board of Education
• Fayette County Board of Health

• Clinical Medical Laboratory in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.