Aledade Care Solutions Of West Virginia Inc | |
232 Capitol St Charleston WV 25301-2234 | |
(681) 202-4474 | |
Not Available |
Full Name | Aledade Care Solutions Of West Virginia Inc |
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Speciality | Internal Medicine |
Location | 232 Capitol St, Charleston, West Virginia |
Authorized Official Name and Position | Robert Kocher (OWNER) |
Authorized Official Contact | 2022538654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aledade Care Solutions Of West Virginia Inc 232 Capitol St Charleston WV 25301-2234 Ph: (681) 202-4474 | Aledade Care Solutions Of West Virginia Inc 232 Capitol St Charleston WV 25301-2234 Ph: (681) 202-4474 |
NPI Number | 1326785189 |
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Provider Enumeration Date | 05/13/2022 |
Last Update Date | 05/13/2022 |
Medicare PECOS PAC ID | 6800332990 |
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Medicare Enrollment ID | O20240725000866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326785189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert Kocher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386030559 PECOS PAC ID: 3476940479 Enrollment ID: I20240725001028 |
Provider Name | Audra Doyle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417347451 PECOS PAC ID: 7012227523 Enrollment ID: I20241002003434 |
Provider Name | Ajit Chary |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20241015002109 |
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