Provider Demographics
NPI:1568173201
Name:FAITH FAMILY HEALTH, LLC
Entity Type:Organization
Organization Name:FAITH FAMILY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:304-887-3530
Mailing Address - Street 1:617 MERCER ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3111
Mailing Address - Country:US
Mailing Address - Phone:304-425-2405
Mailing Address - Fax:304-425-2407
Practice Address - Street 1:609 MERCER ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3111
Practice Address - Country:US
Practice Address - Phone:304-425-2405
Practice Address - Fax:304-425-2407
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH FAMILY HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care