COAL COUNTRY CLINIC INC
NPI 1831379338
General Practice in Daniels, WV

Q: What is Coal Country Clinic Inc's NPI number?

The NPI number for Coal Country Clinic Inc is 1831379338. It was assigned to this organization in the NPPES registry on November 13, 2007.

Q: What is Coal Country Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 13, 2007

3050 C AND O DAM RD, DANIELS, WV 25832(304) 763-0199(304) 763-2137 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Coal Country Clinic Inc NPPES

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

COAL COUNTRY CLINIC INC (NPI 1831379338) is a healthcare organization registered as a general practice in Daniels, West Virginia and active in the NPI registry since November 2007. The organization lists Michael Merritt Kostenko, President, as its authorized official.

NPPES Registry Identity

NPI1831379338

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCOAL COUNTRY CLINIC INC

Location Address3050 C AND O DAM RDDaniels, WV 25832-9718

Mailing AddressPo Box 88Daniels, WV 25832-0088 · (304) 763-0199 · Fax (304) 763-2137

Phone(304) 763-0199

Fax(304) 763-2137

Organization SubpartNo

Authorized OfficialMichael Merritt KostenkoPresident · (304) 763-0199

Enumeration DateNovember 13, 2007

✔ NPI 1831379338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WV · 1078

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3050 C AND O DAM RD, Daniels, WV 25832

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Other Identifiers 1

Medicare PIN9243402WV

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

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 Coal Country Clinic Inc's NPI number?

The NPI number for Coal Country Clinic Inc is 1831379338. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Coal Country Clinic Inc located?

Coal Country Clinic Inc is located at 3050 C And O Dam Rd, Daniels, WV 25832. The listed phone number is (304) 763-0199.

What is Coal Country Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Coal Country Clinic Inc was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.