RAINELLE MEDICAL CENTER, INC. (NPI# 1336661834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336661834 |
| Entity Type | Organization |
| Organization Name | RAINELLE MEDICAL CENTER, INC. |
| Other Organization Name | MAXWELTON HEALTH CENTER PHARMACY |
| Practice Address |
390 Industrial Park Rd Maxwelton WV 24957-8073 |
| Mailing Address |
176 Medical Center Dr Rainelle WV 25962-1064 |
| Practice Telephone | 6813183610 |
| Practice Fax Number | 6813183613 |
| Mailing Telephone | 3044386188 |
| Mailing Fax Number | 3044386185 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | DAVID YOAKUM (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3044386188 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | RAINELLE MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | SP0552512 | WV | Suppliers |
| Other Name | Type Code |
|---|---|
| MAXWELTON HEALTH CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815268 | Rainelle Medical Center, Inc. | Clinic/Center | Po Box 89, Hico, WV 25854-0089 | 2017-11-22 |
| 1528410065 | Rainelle Medical Center, Inc. | Clinic/Center | 539 Parklin Drive, Covington, VA 24426 | 2016-07-08 |
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| 1740589746 | Rainelle Medical Center, Inc. | Clinic/Center | 101 Railroad Avenue, Alderson, WV 24910-0740 | 2011-03-17 |
| 1821554486 | Rainelle Medical Center, Inc. | Clinic/Center | 7576 Seneca Trail, Hillsboro, WV 24946 | 2019-02-19 |
| 1497244412 | Rainelle Medical Center, Inc. | Clinic/Center | 296 Fair St, Lewisburg, WV 24901-2632 | 2018-05-04 |
| 1093165722 | Rainelle Medical Center, Inc. | Clinic/Center | 128 Community Ln, White Sulphur Springs, WV 24986-1105 | 2016-06-14 |
| 1093199036 | Rainelle Medical Center, Inc. | Clinic/Center | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2015-07-18 |
| 1235238122 | Rainelle Medical Center, Inc. | Pharmacy | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-09-21 |
| 1528050655 | Rainelle Medical Center, Inc. | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-16 |
| Street Address |
390 INDUSTRIAL PARK RD |
| City | MAXWELTON |
| State | WV |
| Zip Code | 24957-8073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528587722 | Joshua Workman | Pharmacist | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| 1285869032 | Lindsay F Taylor | Pharmacist | 804 Industrial Park Rd, Maxwelton, WV 24957-0142 | 2009-05-22 |
| 1073616132 | Joseph F Bee | Dentist | 274 Erin Lane, Maxwelton, WV 24957-0274 | 2006-09-06 |
| 1972120806 | Amy Allison Myers | Day Training/Habilitation Specialist | 804 Industrial Drive, Maxwelton, WV 24957-0804 | 2020-06-26 |
| 1902199532 | Anna C Stout-tuckwiller | Physician Assistant | 804 Industrial Park Rd, Maxwelton, WV 24957-8061 | 2011-05-16 |
| 1306362355 | Genoa Healthcare, LLC | Pharmacy | 804 Industrial Park Rd Rm 27, Maxwelton, WV 24957-8066 | 2017-08-21 |
| 1508246307 | Samantha Grimmett | Social Worker | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957-8066 | 2015-06-05 |
| 1679747893 | Mary Ann Shires | Social Worker | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2008-04-18 |
| 1568070290 | Erica Brownfield | Case Manager/Care Coordinator | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-07-20 |
| 1609493253 | Marcus Algelo Brandon | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-30 |
| Find all providers in zip 24957 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1316424948 | Team J & J Corp | Pharmacy | 48 1/2 W. 2nd Ave, Williamson, WV 25661 | 2018-07-26 |
| 1053825711 | Genoa Healthcare, LLC | Pharmacy | 101 S Eisenhower Dr Ste P, Beckley, WV 25801-4929 | 2017-11-16 |
| 1447783931 | Pharmacole Inc | Pharmacy | 13030 Shortline Hwy, Pine Grove, WV 26419-8291 | 2017-04-11 |
| 1033564893 | New Trail Clinical Pharmacy Solutions | Pharmacy | 521 Jesse James Dr, Rock, WV 24747-9779 | 2016-04-29 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| 1700253861 | Bp4 LLC | Pharmacy | 5151 Maccorkle Ave Sw, South Charleston, WV 25309-1109 | 2015-08-25 |
| 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.