MED SURG PHYSICIAN GROUP INC. NPI 1083373997

NPI Information

NPI: 1083373997
Provider Name: MED SURG PHYSICIAN GROUP, INC.
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Doing Business As: ELENA BEHAVIORAL HEALTH
CLIA Number: 51D2233277
Address: 379 STANAFORD RD STE 200
BECKLEY, WV
ZIP 25801
Phone: (304) 253-3000

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NPI Details

MED SURG PHYSICIAN GROUP, INC. is an addiction (substance use disorder) counselor in Beckley, WV. MED SURG PHYSICIAN GROUP, INC. NPI is 1083373997. The provider is registered as an organization entity type.
The provider Is Doing Business As Elena Behavioral Health.

The provider's business location address is:

379 STANAFORD RD STE 200
BECKLEY, WV
ZIP 25801-141
Phone: (304) 253-3000
Fax: (304) 929-2038

The provider's authorized official is Amber Moore .
The authorized official title is Office Manager and has the following contact phone number (304) 253-3000.

The CLIA number assigned to this NPI record is 51D2233277 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 10/12/2023.

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	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261QR0800X	Clinic/Center	Recovery Care	No
5	276400000X	Rehabilitation, Substance Use Disorder Unit		No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
7	323P00000X	Psychiatric Residential Treatment Facility		No
8	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
9	343900000X	Non-emergency Medical Transport (VAN)		No
10	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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: 3/30/2025

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