KANAWHA VALLEY CENTER INC


Address: 200 Bradford Street, Charleston, WV 25301-5301
Phone: 8008355277

KANAWHA VALLEY CENTER INC (NPI# 1164639373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164639373
Entity Type Organization
Organization Name KANAWHA VALLEY CENTER INC
Practice Address 200 Bradford Street
Charleston
WV 25301-5301
Practice Telephone 8008355277
Practice Fax Number 3043479820
Mailing Telephone 8008355277
Mailing Fax Number 3043479820
Enumeration Date 2007-05-17
Last Update Date 2020-08-22
Authorized Official Name MRS. KRISTI RENEA FERRELL (DIRECTOR OF ADMINISTRATION AND HUMA)
Authorized Official Telephone 3043479818
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
========= WV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 5200000001 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386851509 Kanawha Valley Center Inc Clinic/Center 200 Bradford Street, Charleston, WV 25301-5301 2007-05-17

Office Location

Street Address 200 BRADFORD STREET
City CHARLESTON
State WV
Zip Code 25301-5301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386851509 Kanawha Valley Center Inc Clinic/Center 200 Bradford Street, Charleston, WV 25301-5301 2007-05-17

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1679060420 Partnership of African American Churches Inc. Clinic/Center 1514 Kanawha Blvd W, Charleston, WV 25387-2533 2018-04-17
1386851509 Kanawha Valley Center Inc Clinic/Center 200 Bradford Street, Charleston, WV 25301-5301 2007-05-17
1659382703 Highland Behavioral Health Services Inc Clinic/Center 511 Morris Street, Charleston, WV 25301 2006-08-11
1740291897 Highland Behavioral Health Services Inc Clinic/Center 5600 Maccorkle Ave Se, Suite 6, Charleston, WV 25304 2006-08-11
1225645005 Mikayla Harper, LLC Clinic/Center 452 Folly Rd, Charleston, SC 29412-2641 2020-09-25
1154840841 Mbh Physician Group -wv Pllc Clinic/Center 1418 Maccorkle Ave Sw, Charleston, WV 25303-1342 2017-09-13
1760896740 Highland Behavioral Health Services, Inc Clinic/Center 2500 Cherokee Avenue, Charleston, WV 25304 2014-06-17
1760596480 South Carolina Dept of Mental Health Accounting Office Clinic/Center 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 2006-08-19
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Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

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.

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