FIVE OAKS FAMILY CLINIC, INC.


Address: Rr 3 Box 458e, Fayetteville, WV 25840-9589
Phone: 3045741888

FIVE OAKS FAMILY CLINIC, INC. (NPI# 1841247368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841247368
Entity Type Organization
Organization Name FIVE OAKS FAMILY CLINIC, INC.
Practice Address Rr 3 Box 458e
Fayetteville
WV 25840-9589
Practice Telephone 3045741888
Practice Fax Number 3045741891
Mailing Telephone 3045741888
Mailing Fax Number 3045741891
Enumeration Date 2006-05-29
Last Update Date 2020-08-22
Authorized Official Name DR. MARK DOUGLAS WHITE (PRESIDENT)
Authorized Official Telephone 3045741890
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
14161 WV Ambulatory Health Care Facilities

Office Location

Street Address RR 3 BOX 458E
City FAYETTEVILLE
State WV
Zip Code 25840-9589

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City FAYETTEVILLE
Zip Code 25840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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