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BOONE PRIMARY CARE CLINIC
NPI 1578634697
Internal Medicine in Madison, WV

Active since November 11, 2006
340 STATE ST, MADISON, WV 25130(304) 307-6618(304) 307-6619 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boone Primary Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOONE PRIMARY CARE CLINIC (NPI 1578634697) is a healthcare organization registered as an internal medicine in Madison, West Virginia and active in the NPI registry since November 2006. The organization lists Wenqing Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1578634697
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBOONE PRIMARY CARE CLINIC
Location Address340 STATE STMadison, WV 25130-1365
Mailing Address340 State StMadison, WV 25130-1365 · (304) 307-6618 · Fax (304) 307-6619
Phone(304) 307-6618
Fax(304) 307-6619
Organization SubpartNo
Authorized OfficialWenqing LongOwner · (304) 307-6618
Enumeration DateNovember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578634697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 19477
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
340 STATE ST, Madison, WV 25130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WV SPINE AND PAIN CLINIC
Pain Medicine (Interventional Pain Medicine)
340 STATE ST
MADISON, WV 25130
Boone County (304) 561-7879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boone Primary Care Clinic's NPI number?

The NPI number for Boone Primary Care Clinic is 1578634697. It was assigned to this organization in the NPPES registry on November 11, 2006.

Where is Boone Primary Care Clinic located?

Boone Primary Care Clinic is located at 340 State St, Madison, WV 25130. The listed phone number is (304) 307-6618.

What is Boone Primary Care Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Boone Primary Care Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.