Provider Demographics
NPI:1467762351
Name:FCI BECKLEY
Entity Type:Organization
Organization Name:FCI BECKLEY
Other - Org Name:FCI BECKLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH SERVICES ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-9758
Mailing Address - Street 1:1600 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:WV
Mailing Address - Zip Code:25813-9529
Mailing Address - Country:US
Mailing Address - Phone:304-252-9758
Mailing Address - Fax:
Practice Address - Street 1:1600 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:WV
Practice Address - Zip Code:25813-9529
Practice Address - Country:US
Practice Address - Phone:304-252-9758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5055327OtherNCPDP PROVIDER IDENTIFICATION NUMBER