PENDLETON COMMUNITY CARE INC. NPI 1427307222

NPI Information

NPI: 1427307222
Provider Name: PENDLETON COMMUNITY CARE, INC.

Doing Business As: HARMAN HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 51D2055369

Address:
1 MOTT STREET
HARMAN, WV
ZIP 26270
Phone: (304) 227-4134
Get Directions

PENDLETON COMMUNITY CARE, INC. is a federally qualified health center (fqhc) clinic center in Harman, WV. PENDLETON COMMUNITY CARE, INC. NPI is 1427307222. The provider is registered as an organization entity type.
The provider Is Doing Business As Harman Health Center.

The provider's business location address is:

1 MOTT STREET
HARMAN, WV
ZIP 26270-014
Phone: (304) 227-4134
Fax: (304) 227-4522

The provider's authorized official is Jamie Hudson .
The authorized official title is Ceo and has the following contact phone number (304) 358-2355.

The CLIA number assigned to this NPI record is 51D2055369 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2012 and was last updated on 6/14/2016.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	3810026188	MEDICAID	WEST VIRGINIA
2	511018	MEDICARE OSCAR/CERTIFICATION	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: 5/5/2024

NPI Synchronization or Removal

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