OrganizationActive
Occupational Medicine, Inc.
NPI 1255340758 · Exclusive Provider Organization · Lavalette, WV
Provider details
- NPI number
- 1255340758
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Paul Craig, Owner(304) 522-7268
- License
- 18116 (WV)
Specialties & taxonomies
Managed Care Organizations
Practice location
4552 Route 152
Lavalette, WV 25535-1180
Phone: (304) 522-7268
Fax: (304) 525-5539
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1180
Lavalette, WV 25535-1180
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.