Main Street Addiction Center Inc

Organization Active
NPI 1639616006
Addiction Medicine (Family Medicine) Physician Logan, WV

NPI 1639616006 belongs to Main Street Addiction Center Inc, an addiction medicine (family medicine) physician with a practice location in Logan, WV. The NPI was issued on January 24, 2017, and the record was last updated in NPPES on January 24, 2017.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X 1489 (WV)

Practice location

204 Main St
Logan, WV 25601-3944
Phone: (304) 752-3400

Local context

Active NPPES records list 4 providers with addiction medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 33 in West Virginia and 1,636 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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