OrganizationActive
P.r.i.d.e. Inc.
NPI 1669664231 · Preferred Provider Organization · Logan, WV
Provider details
- NPI number
- 1669664231
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Brenda York, Billing Clerk(304) 752-6868
Specialties & taxonomies
Managed Care Organizations
Practice location
699 Stratton St
Logan, WV 25601-4020
Phone: (304) 752-6868
Fax: (304) 752-1047
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1346
Logan, WV 25601-1346
Registry dates
- Enumerated
- 2007-08-16
- Last updated
- 2007-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.