Melchor F Vidal Sr. (NPI# 1063515054, PAC ID# 2961451992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1063515054 |
| PAC ID by PECOS | 2961451992 |
| Professional Enrollment ID | I20120119000012 |
| Full Name | Melchor F Vidal Sr. |
| Address |
27545 Daniel Boone Pkwy Racine WV 25165-9601 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510031 | ST FRANCIS HOSPITAL |
| 511313 | BOONE MEMORIAL HOSPITAL |
| 510029 | THOMAS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 27545 Daniel Boone Pkwy, Racine, WV 25165-9601 |
| Street Address |
27545 DANIEL BOONE PKWY |
| City | RACINE |
| State | WV |
| Zip | 25165-9601 |
| City | RACINE |
| Zip Code | 25165 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | RACINE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Melchor F Vidal Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.