Provider Demographics
NPI:1578877742
Name:COMMUNITY PHYSICIANS OF WAR MEMORIAL
Entity Type:Organization
Organization Name:COMMUNITY PHYSICIANS OF WAR MEMORIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-258-6500
Mailing Address - Street 1:77 WAR MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411
Mailing Address - Country:US
Mailing Address - Phone:304-867-3107
Mailing Address - Fax:304-867-3109
Practice Address - Street 1:77 WAR MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:BERKELEY SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:25411
Practice Address - Country:US
Practice Address - Phone:304-867-3107
Practice Address - Fax:304-867-3109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WAR MEMORIAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty