| Sunshine Outpatient Clinic Llc | |
|
1769 Robert C Byrd Dr Beckley WV 25801-8707 | |
| (304) 222-2329 | |
| Not Available |
| Full Name | Sunshine Outpatient Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1769 Robert C Byrd Dr, Beckley, West Virginia |
| Authorized Official Name and Position | Donna Jean Evans (OWNER) |
| Authorized Official Contact | 3042222329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Outpatient Clinic Llc 1701 Robert C Byrd Dr Beckley WV 25801 Ph: () - | Sunshine Outpatient Clinic Llc 1769 Robert C Byrd Dr Beckley WV 25801-8707 Ph: (304) 222-2329 |
| NPI Number | 1174282065 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 4688042849 |
|---|---|
| Medicare Enrollment ID | O20240112000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174282065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Donna J Evans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194887018 PECOS PAC ID: 5597116798 Enrollment ID: I20240112000556 |
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