South Harrison Family Medicine is a health care provider in Lost Creek, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||2324 Hawk Highway, Lost Creek, WV 26385-9707, US|
|Practice Location Phone||304-745-3200|
|Practice Location Fax||304-745-4068|
|Legal Business Name||SOUTH HARRISON FAMILY MEDICINE|
|Enumeration Date ?||Oct 12, 2006|
|Last Update Date ?||Dec 5, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians||15551||West Virginia|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the South Harrison Family Medicine's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Jo Ann Longenecker (MD)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||304-745-3200|