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WIRT COUNTY HEALTH SERVICES ASSOCIATION INC NPI 1518191923


NPI Information

NPI: 1518191923
Provider Name: WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC

Doing Business As: WIRT COUNTY SCHOOL WELLNESS CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
SCHOOLVIEW STREET
ELIZABETH, WV
ZIP 26143
Phone: (304) 275-3117
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WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC is a federally qualified health center (fqhc) clinic center in Elizabeth, WV. WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC NPI is 1518191923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wirt County School Wellness Center.

The provider's business location address is:

SCHOOLVIEW STREET
ELIZABETH, WV
ZIP 26143
Phone: (304) 275-3117
Fax: (304) 275-3117

The provider's authorized official is Vicki L Knicely .
The authorized official title is Billing/credentialing Supervisor and has the following contact phone number (304) 275-3301.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 1/3/2014.


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
1207Q00000XFamily MedicineWEST VIRGINIANo
2261QF0400XClinic/CenterFederally 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
15118631MEDICARE PINWEST VIRGINIA
2511863MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
30009486002MEDICAIDWEST 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
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