CENTRAL WV MEDCORP INC. NPI 1275558017

NPI Information

  • NPI: 1275558017
  • Provider Name: CENTRAL WV MEDCORP, INC.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: BUCKHANNON MEDICAL CARE
  • CLIA Number: 51D0915651
  • Address: 11 N LOCUST ST
    BUCKHANNON, WV
    ZIP 26201
  • Phone: (304) 472-1600

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NPI Details

CENTRAL WV MEDCORP, INC. is a geriatric medicine internal medicine in Buckhannon, WV. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CENTRAL WV MEDCORP, INC. NPI is 1275558017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Buckhannon Medical Care.

The provider's business location address is:

11 N LOCUST ST
BUCKHANNON, WV
ZIP 26201-231
Phone: (304) 472-1600
Fax: (304) 472-6382

The provider's authorized official is Rebecca Jean Hammer .
The authorized official title is Cfo and has the following contact phone number (304) 637-3156.

The CLIA number assigned to this NPI record is 51D0915651 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/31/2011.

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
1101YP2500XCounselorProfessionalNo
2208000000XPediatricsNo
3207Q00000XFamily MedicineWEST VIRGINIANo
4207R00000XInternal MedicineWEST VIRGINIANo
5208600000XSurgeryWEST VIRGINIANo
62086S0129XSurgeryVascular SurgeryWEST VIRGINIANo
7207Y00000XOtolaryngologyWEST VIRGINIANo
8207P00000XEmergency MedicineWEST VIRGINIANo
9207RG0300XInternal MedicineGeriatric MedicineYes

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
1020935300OTHERWEST VIRGINIADOL FEDERAL BLACK LUNG PR
20009078000MEDICAIDWEST VIRGINIA
3CE9277341MEDICARE PINWEST VIRGINIA
4001710531OTHERWEST VIRGINIAMT ST BCBS PAC PAY TO #
551-3916MEDICARE PINWEST VIRGINIA
6CE9277343MEDICARE PINWEST VIRGINIA
7CE9277346MEDICARE PINWEST VIRGINIA
8000897320OTHERWEST VIRGINIAMT ST BCBS GROUP NUMBER
9CE9356173MEDICARE PINWEST VIRGINIA
10020935302OTHERWEST VIRGINIADOL FEDERAL BLACK LUNG PR
11CE9356171MEDICARE PINWEST VIRGINIA
12CE9277347MEDICARE PINWEST VIRGINIA
13CE9277345MEDICARE PINWEST VIRGINIA
14CE9277348MEDICARE PINWEST VIRGINIA
15=========OTHERWEST VIRGINIATAX ID NUMBER
163810010990MEDICAIDWEST VIRGINIA
17CE9277349MEDICARE PINWEST VIRGINIA
18CE9356172MEDICARE PINWEST VIRGINIA
19151585801OTHERWEST VIRGINIADOL FEDERAL BLACK LUNG PR
20CA1556MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAGROUP RAILROAD MEDICARE

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: 11/21/2025

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