GENTRY MARTIAL ARTS (NPI# 1326286790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326286790 |
| Entity Type | Organization |
| Organization Name | GENTRY MARTIAL ARTS |
| Other Organization Name | GMAM |
| Practice Address |
333 W. Washigton St. Martinsville IN 46151-1431 |
| Mailing Address |
Po Box 1414 Martinsville IN 46151-0414 |
| Practice Telephone | 7653425600 |
| Practice Fax Number | 7653425605 |
| Mailing Telephone | 7653425600 |
| Mailing Fax Number | 7653425605 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MR. BRANDON SIEG (PRESIDENT) |
| Authorized Official Telephone | 7653425600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200918350 A | 05 |
| Other Name | Type Code |
|---|---|
| GMAM | Other Name - Individual/Organization |
| Street Address |
333 W. WASHIGTON ST. |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267092 | Quality Life Interventions LLC | Community/Behavioral Health | 22 E Church St Ste 301, Martinsville, VA 24112-6208 | 2019-04-16 |
| 1245795269 | Second Chance Support Services LLC | Community/Behavioral Health | 22 E Church St Ste 319, Martinsville, VA 24112-6208 | 2019-02-04 |
| 1295213403 | Upright Support Services | Community/Behavioral Health | 65 Pasadena Knl, Martinsville, VA 24112-1146 | 2018-07-31 |
| 1306323225 | Family Preservation Services, Inc. | Community/Behavioral Health | 740 Figsboro Rd, Martinsville, VA 24112-6770 | 2018-07-24 |
| 1912496340 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 6 Wall St, Martinsville, VA 24112-2700 | 2018-05-01 |
| 1497279434 | Resilient Health and Community Support Services, LLC | Community/Behavioral Health | 300 Franklin St Ste 231, Martinsville, VA 24112-2162 | 2017-08-01 |
| 1548634645 | Therapeutic Intervention Services, Inc | Community/Behavioral Health | 26 W Church St Ste 3, Martinsville, VA 24112-6210 | 2015-11-30 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1649673682 | Hope Counseling Services, LLC | Community/Behavioral Health | 1609 John R Wooden Dr, Martinsville, IN 46151-1829 | 2014-10-06 |
| 1700297447 | New Heights Community Support, LLC | Community/Behavioral Health | 407 E Church St, Martinsville, VA 24112-2910 | 2014-05-15 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
Please comment or provide details below to improve the information on GENTRY MARTIAL ARTS.
| 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.