PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC NPI 1962772897

NPI Information

NPI: 1962772897
Provider Name: PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3375 US ROUTE 60 E
HUNTINGTON, WV
ZIP 25705
Phone: (304) 525-7851
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PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC is a mental health (including community mental health center) clinic center in Huntington, WV. PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC NPI is 1962772897. The provider is registered as an organization entity type.

The provider's business location address is:

3375 US ROUTE 60 E
HUNTINGTON, WV
ZIP 25705-837
Phone: (304) 525-7851
Fax: (304) 525-1504

The provider's authorized official is Robert H Hansen .
The authorized official title is Chief Executive Officer and has the following contact phone number (304) 399-1133.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/23/2012.

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	251S00000X	Community/Behavioral Health		016	WEST VIRGINIA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	016	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	CHARITY CARE LBHC16	OTHER	WEST VIRGINIA	CHARITY CARE
2	3810022070	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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