Provider Demographics
NPI:1598955676
Name:UNION CARBIDE CORPORATION A SUBSIDIARY OF THE DOW CHEMICAL COMPANY
Entity Type:Organization
Organization Name:UNION CARBIDE CORPORATION A SUBSIDIARY OF THE DOW CHEMICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP OF UNION CARBIDE
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-636-6542
Mailing Address - Street 1:437 MACCORKLE AVE SW
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-1230
Mailing Address - Country:US
Mailing Address - Phone:304-747-2512
Mailing Address - Fax:304-747-2599
Practice Address - Street 1:437 MACCORKLE AVE SW
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1230
Practice Address - Country:US
Practice Address - Phone:304-747-2512
Practice Address - Fax:304-747-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care