Provider Demographics
NPI:1427178763
Name:HAROLD E. HARVEY II, MD, PLLC
Entity Type:Organization
Organization Name:HAROLD E. HARVEY II, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:304-252-5343
Mailing Address - Street 1:214 PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3624
Mailing Address - Country:US
Mailing Address - Phone:304-252-5343
Mailing Address - Fax:304-252-6542
Practice Address - Street 1:214 PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3624
Practice Address - Country:US
Practice Address - Phone:304-252-5343
Practice Address - Fax:304-252-6542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17024261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0075038000Medicaid
WV0075038000Medicaid
F40268Medicare UPIN