APPALACHIAN COMMUNITY HEALTH CENTER NPI 1174681365

NPI Information

NPI: 1174681365
Provider Name: APPALACHIAN COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 51D2284568

Address:
725 YOKUM STREET
ELKINS, WV
ZIP 26241
Phone: (304) 636-3232
Get Directions

APPALACHIAN COMMUNITY HEALTH CENTER is a mental health (including community mental health center) clinic center in Elkins, WV. APPALACHIAN COMMUNITY HEALTH CENTER NPI is 1174681365. The provider is registered as an organization entity type.

The provider's business location address is:

725 YOKUM STREET
ELKINS, WV
ZIP 26241
Phone: (304) 636-3232
Fax: (304) 636-9243

The provider's authorized official is Richard Kiley .
The authorized official title is Executive Director and has the following contact phone number (304) 636-3232.

The CLIA number assigned to this NPI record is 51D2284568 - other - comm behavior health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	0023491001	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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