Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coal Country Clinic Inc

Organization General Practice Physician · NPI 1831379338

Coal Country Clinic Inc is a General Practice Physician in Daniels, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3050 C And O Dam Rd
Daniels, WV 25832-9718
Phone: (304) 763-0199
Fax: (304) 763-2137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 1078 (WV)

Record details

NPI number1831379338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kostenko — President · (304) 763-0199
NPI enumeratedNovember 13, 2007
Last updated in NPPESNovember 13, 2007
Mailing addressPo Box 88, Daniels, WV 25832-0088

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