Dr Ralph E Simms Inc | |
6435 Harper Rd Glen Daniel WV 25844 | |
(304) 934-6400 | |
(304) 934-7400 |
Full Name | Dr Ralph E Simms Inc |
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Speciality | Family Medicine |
Location | 6435 Harper Rd, Glen Daniel, West Virginia |
Authorized Official Name and Position | Ralph Edward Simms (PHYSICIAN OWNER) |
Authorized Official Contact | 3049346400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Ralph E Simms Inc 6435 Harper Rd Po Box 100 Glen Daniel WV 25844 Ph: (304) 934-6400 | Dr Ralph E Simms Inc 6435 Harper Rd Glen Daniel WV 25844 Ph: (304) 934-6400 |
NPI Number | 1205948528 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/01/2007 |
Medicare PECOS PAC ID | 1052344272 |
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Medicare Enrollment ID | O20080520000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205948528 | NPI | - | NPPES |
5630471000 | Medicaid | WV | |
9328251 | Other | WV | MEDICARE ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | WV1206 (West Virginia) | Primary |
Provider Name | Ralph E Simms |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124146113 PECOS PAC ID: 4688607807 Enrollment ID: I20080520000552 |
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