ROBERT PHARES PLLC


Address: 6 N Wind Way, Morgantown, WV 26508-1117
Phone: 3042405967

ROBERT PHARES PLLC (NPI# 1083178081) 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) 1083178081
Entity Type Organization
Organization Name ROBERT PHARES PLLC
Practice Address 6 N Wind Way
Morgantown
WV 26508-1117
Practice Telephone 3042405967
Mailing Telephone 3042405967
Enumeration Date 2019-01-24
Last Update Date 2019-06-12
Authorized Official Name DR. ROBERT PHARES (PHYSICIAN)
Authorized Official Telephone 3042405967
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 6 N WIND WAY
City MORGANTOWN
State WV
Zip Code 26508-1117

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1013250588 Walid Radwan Student in an Organized Health Care Education/Training Program 1121 Eagle Run Road, Morgantown, WV 26508 2013-04-02
1467727040 Sara Lyndsey Disimone Counselor 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 2012-03-15
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
1427477934 Valley Comprehensive Community Mental Health Center Clinic/Center 301 Scott Ave, Morgantown, WV 26508-8804 2014-04-11

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Competitor

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City MORGANTOWN
Zip Code 26508

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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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