ST. MARY'S MEDICAL MANAGEMENT LLC NPI 1922155217

NPI Information

NPI: 1922155217
Provider Name: ST. MARY'S MEDICAL MANAGEMENT, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2900 1ST AVE
HUNTINGTON, WV
ZIP 25702
Phone: (304) 526-1234
Get Directions

ST. MARY'S MEDICAL MANAGEMENT, LLC is a family medicine in Huntington, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. MARY'S MEDICAL MANAGEMENT, LLC NPI is 1922155217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2900 1ST AVE
HUNTINGTON, WV
ZIP 25702
Phone: (304) 526-1234
Fax: (304) 526-1489

The provider's authorized official is Todd Campbell .
The authorized official title is Cfo and has the following contact phone number (304) 526-8914.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/24/2018.

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	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	No
2	207Q00000X	Family Medicine		Yes
3	207R00000X	Internal Medicine		No
4	207RI0200X	Internal Medicine	Infectious Disease	No
5	207T00000X	Neurological Surgery		No
6	207V00000X	Obstetrics & Gynecology		No
7	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	No
8	208000000X	Pediatrics		No
9	208600000X	Surgery		No
10	208800000X	Urology		No
11	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
12	261QU0200X	Clinic/Center	Urgent Care	No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No

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	7100101210	MEDICAID	KENTUCKY
2	002016965	OTHER	WEST VIRGINIA	BSMT/ MID LEVEL
3	3810007944	MEDICAID	WEST VIRGINIA
4	3810009673	OTHER	WEST VIRGINIA	UNISYS / ST MARY'S LAB
5	001934200	OTHER	WEST VIRGINIA	BSMT MOUNTAIN STATE
6	7100073660	MEDICAID	KENTUCKY

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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