Provider Demographics
NPI:1669776076
Name:ECP CLINICS LLC
Entity type:Organization
Organization Name:ECP CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:304-760-6131
Mailing Address - Street 1:101 CARRIAGE WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1526
Mailing Address - Country:US
Mailing Address - Phone:304-760-6131
Mailing Address - Fax:304-760-6134
Practice Address - Street 1:101 CARRIAGE WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-1526
Practice Address - Country:US
Practice Address - Phone:304-760-6131
Practice Address - Fax:304-760-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty