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EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER) NPI 1093135584


NPI Information

NPI: 1093135584
Provider Name: EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER)

Doing Business As: EASTRIDGE HEALTH SYSTEMS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
235 S WATER ST
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-8954
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EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER) is a community behavioral health in Martinsburg, WV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER) NPI is 1093135584. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastridge Health Systems.

The provider's business location address is:

235 S WATER ST
MARTINSBURG, WV
ZIP 25401-241
Phone: (304) 263-8954
Fax: (304) 264-0763

The provider's authorized official is Rita Quinn .
The authorized official title is Ceo/president and has the following contact phone number (304) 263-8954.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 1/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health1022-6441WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10023817001MEDICAIDWEST VIRGINIA
20023817002MEDICAIDWEST VIRGINIA
33810012620MEDICAIDWEST VIRGINIA
43810022967MEDICAIDWEST VIRGINIA
50023817000MEDICAIDWEST 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.