OCCUMED LLC NPI 1639289937

NPI Information

NPI: 1639289937
Provider Name: OCCUMED, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 51D0688260

Address:
2 STONECREST DR
HUNTINGTON, WV
ZIP 25701
Phone: (304) 525-2273
Get Directions

OCCUMED, LLC is an urgent care clinic center in Huntington, WV. OCCUMED, LLC NPI is 1639289937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 STONECREST DR
HUNTINGTON, WV
ZIP 25701-391
Phone: (304) 525-2273
Fax: (304) 525-2165

The provider's authorized official is Timothy Martin .
The authorized official title is Vp & Coo and has the following contact phone number (304) 526-2052.

The CLIA number assigned to this NPI record is 51D0688260 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/25/2024.

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	363L00000X	Nurse Practitioner				No
2	261QX0100X	Clinic/Center	Occupational Medicine	005812	WEST VIRGINIA	No
3	261QX0100X	Clinic/Center	Occupational Medicine	2017-9518	WEST VIRGINIA	No
4	363A00000X	Physician Assistant				No
5	261QU0200X	Clinic/Center	Urgent Care	005812	WEST VIRGINIA	No
6	207Q00000X	Family Medicine				No
7	261QU0200X	Clinic/Center	Urgent Care	2017-9518	WEST VIRGINIA	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	7100387040	OTHER	KENTUCKY	KY MEDICAID PA
2	2643689	MEDICAID	OHIO
3	7100350570	OTHER	KENTUCKY	KY MEDICAID NP
4	1639289937	MEDICAID	WEST VIRGINIA
5	7100053990	OTHER	KENTUCKY	KY MEDICAID DO/MD
6	3810006253	MEDICAID	WEST VIRGINIA

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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