WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC, INC (NPI# 1093220303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093220303 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC, INC |
| Other Organization Name | ROBERT C. BYRD CLINIC - RUPERT |
| Practice Address |
356 Nicholas Street Rupert WV 25984 |
| Mailing Address |
1464 Jefferson St N Lewisburg WV 24901-1380 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046454103 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3047932491 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | JILL MCCLUNG (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 3046453220 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
36604 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Robert C. Byrd Clinic - Rupert | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992826176 | West Virginia School of Osteopathic Medicine Clinic, Inc | Clinical Medical Laboratory | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2007-04-03 |
| Street Address |
356 NICHOLAS STREET |
| City | RUPERT |
| State | WV |
| Zip Code | 25984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868054 | Pamela L Edens | Nurse Practitioner | 356 Nicholas Street, Rupert, WV 25984 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637515 | Diana Trigg | Technician | 284 Greenbrier Streeet, Rupert, WV 25984 | 2020-10-19 |
| 1922606573 | Angela Fara Gibson | Technician | 157 11th St, Rupert, WV 25984 | 2020-10-15 |
| 1093320327 | Brittany Bennett | Technician | 1006 Raleigh St., Rupert, WV 25984 | 2020-09-14 |
| 1427660273 | Barbara Ann Burdette | Technician | 1197 Miller Rd Crawley, Rupert, WV 25984 | 2020-08-21 |
| 1669872057 | Greenbrier County Committee On Aging | Home Health | 284 Greenbrier Street, Rupert, WV 25984 | 2014-09-04 |
| 1942458039 | Regional Family Medicine, Inc | General Practice | 406nicholas Street, Rupert, WV 25984 | 2008-09-03 |
| 1346428554 | Priority One Home Care, LLC | Durable Medical Equipment & Medical Supplies | 611 Nicholas St, Rupert, WV 25984 | 2008-02-11 |
| 1497898456 | Greenbrier County Committee On Aging, Inc. | Home Health | 1003 Greenbrier Street, Rupert, WV 25984 | 2007-02-15 |
| 1154424000 | David Hyler-both | Neuromusculoskeletal Medicine & OMM | 163 Greenbrier Street, Rupert, WV 25984 | 2006-09-06 |
| 1518970243 | Alleghany Medical Services PC | Family Medicine | 1109 Greenbier St, Rupert, WV 25984 | 2006-08-14 |
| Find all providers in zip 25984 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1902444987 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 10261 Frankfort Hwy, Fort Ashby, WV 26719-4533 | 2019-12-20 |
| 1083274385 | Pleasant Valley Hospital Inc | Clinic/Center | 2007 2nd St, Mason, WV 25260-1269 | 2019-06-18 |
| 1619434529 | Bluefield Hospital Company LLC | Clinic/Center | 154 Majestic Pl, Bluefield, WV 24701-9170 | 2019-02-27 |
| 1609272343 | Wetzel County Hospital Association | Clinic/Center | 3 E Benjamin Dr Ste B, New Martinsville, WV 26155-2705 | 2014-11-07 |
| 1669882916 | Three Rivers Medical Clinics Inc | Clinic/Center | 47460 Route 52, Kermit, WV 25674-8052 | 2014-05-07 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1710203419 | City of Sistersville | Clinic/Center | 305 Clay St, Sistersville, WV 26175 | 2010-04-20 |
| 1801039565 | Boone Memorial Hospital, Inc | Clinic/Center | 660a S Main St, Madison, WV 25130-1245 | 2009-04-10 |
| 1679766018 | Grafton City Hospital Inc | Clinic/Center | 133 E Veterans Memorial Hwy, Flemington, WV 26347 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.