Provider Demographics
NPI:1699000992
Name:PROMPT CARE PLUS, MC
Entity Type:Organization
Organization Name:PROMPT CARE PLUS, MC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-792-6275
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-0120
Mailing Address - Country:US
Mailing Address - Phone:304-792-6275
Mailing Address - Fax:304-792-6295
Practice Address - Street 1:1334 RITTER DR
Practice Address - Street 2:UNIT 4
Practice Address - City:DANIELS
Practice Address - State:WV
Practice Address - Zip Code:25832-9445
Practice Address - Country:US
Practice Address - Phone:304-252-3711
Practice Address - Fax:304-252-0721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty