MARTINSBURG INSTITUTE INC NPI 1629290127

NPI Information

NPI: 1629290127
Provider Name: MARTINSBURG INSTITUTE INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 51D1058645

Address:
223 EAGLE SCHOOL RD
MARTINSBURG, WV
ZIP 25404
Phone: (304) 263-1101
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MARTINSBURG INSTITUTE INC is a methadone clinic center in Martinsburg, WV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MARTINSBURG INSTITUTE INC NPI is 1629290127. The provider is registered as an organization entity type.

The provider's business location address is:

223 EAGLE SCHOOL RD
MARTINSBURG, WV
ZIP 25404-367
Phone: (304) 263-1101
Fax: (304) 263-0031

The provider's authorized official is Neal Berch .
The authorized official title is Executive Director and has the following contact phone number (304) 263-1101.

The CLIA number assigned to this NPI record is 51D1058645 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CC0559017	OTHER	WEST VIRGINIA	BOARD OF PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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