OrganizationActive
Medical Associates of Glen Daniel
NPI 1801815733 · Rural Health Clinic/Center · Glen Daniel, WV
Provider details
- NPI number
- 1801815733
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jose Gordinho, President(304) 254-9022
- License
- PENDING (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
109 Bolt Road
Glen Daniel, WV 25844
Phone: (304) 934-5125
Approximate (ZIP-level) locationGet directions
Mailing address
310 George St
Beckley, WV 25801-2653
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.