Provider Demographics
NPI:1558312876
Name:TWIN VALLEY MEDICAL CENTER PC
Entity Type:Organization
Organization Name:TWIN VALLEY MEDICAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6410-286-9071
Mailing Address - Street 1:P.O. BOX 529
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19543
Mailing Address - Country:US
Mailing Address - Phone:610-286-9071
Mailing Address - Fax:610-286-6760
Practice Address - Street 1:201 N. WALNUT ST.
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:PA
Practice Address - Zip Code:19543
Practice Address - Country:US
Practice Address - Phone:610-286-9071
Practice Address - Fax:610-286-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty