Organization · Type 2 NPI
Manchin Clinic South, LLC
Clinic/Center · White Hall, WV
NPI number
1265605208
Active
Practice location
181 Middletown Loop
White Hall, WV 26554-8703
Fax (304) 367-9180
Mailing address
181 Middletown Circle
Fairmont, WV 26554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1265605208
Manchin Clinic South, LLC's National Provider Identifier is 1265605208, issued on Apr 10, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in White Hall, WV. The record was last updated on Jul 3, 2024.