NPIMap

Organization Active NPI

War Family Clinic

  • Family Medicine Physician
  • War, WV
National Provider Identifier
1619068145
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV13411 Issued in WV
Legal business name
WAR FAMILY CLINIC
Practice address
16 Main Street
War, WV 24892
Phone
(304) 875-3259
Fax
(304) 875-3259
NPI assigned
Sep 28, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mario Lucero, MDNPI 1639173115
Title
Owner
Phone
(304) 875-3259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV13411 WV Primary

Addresses

Primary practice location

16 Main Street
War, WV 24892

Mailing address

PO Box 99
Princeton, WV 24740-0099
Phone (304) 875-3259

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619068145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247400099",
            "telephone_number": "304-875-3259",
            "fax_number": "304-875-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN STREET",
            "city": "WAR",
            "state": "WV",
            "postal_code": "24892",
            "telephone_number": "304-875-3259",
            "fax_number": "304-875-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAR FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-875-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV13411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in War, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.