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Petersen Clinic, Pllc

Internal Medicine Physician in Oak Hill, WV · enumerated 2006 · authorized official Bruce Petersen, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235169384

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Registry record

Entity type Organization (Type 2)
Legal business name Petersen Clinic, Pllc
Practice address 119 Main St W, Suite A, Oak Hill, WV, 25901
Phone (304) 465-0544
Fax (304) 465-8832
Enumeration date Jul 4, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 942 (WV) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 1864 (WV) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 941 (WV) Primary

Authorized official

Name Bruce Petersen
Title Co-Owner
Phone (304) 465-0544

Other identifiers

Identifier Type State Issuer
0084786001 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Petersen Clinic, Pllc?
The NPI for Petersen Clinic, Pllc is 1235169384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Petersen Clinic, Pllc?
NPPES lists Bruce Petersen (Co-Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.