Provider Demographics
NPI:1164655791
Name:FPC ALDERSON
Entity Type:Organization
Organization Name:FPC ALDERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:304-445-3300
Mailing Address - Street 1:PO BOX A
Mailing Address - Street 2:GLEN RAY ROAD
Mailing Address - City:ALDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:24910-0990
Mailing Address - Country:US
Mailing Address - Phone:304-445-3300
Mailing Address - Fax:304-445-3370
Practice Address - Street 1:PO BOX A
Practice Address - Street 2:GLEN RAY ROAD
Practice Address - City:ALDERSON
Practice Address - State:WV
Practice Address - Zip Code:24910-0990
Practice Address - Country:US
Practice Address - Phone:304-445-3300
Practice Address - Fax:304-445-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health