1003980541 NPI number — SOUTH BRANCH SURGICAL ASSOCIATES INC

Table of content: (NPI 1003980541)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003980541 NPI number — SOUTH BRANCH SURGICAL ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH BRANCH SURGICAL ASSOCIATES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003980541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 788
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PETERSBURG
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26847-0788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-257-4331
Provider Business Mailing Address Fax Number:
304-257-2891

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
GRANT MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
ROUTE 55
Provider Business Practice Location Address City Name:
PETERSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26847-0788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-257-4331
Provider Business Practice Location Address Fax Number:
304-257-2891
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAKANI
Authorized Official First Name:
ANIL
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
304-257-4331

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  15545 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0009932000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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