LIFELINE ADDICTION SPECIALISTS


Address: 550 N Eisenhower Dr, Suite B, Beckley, WV 25801-3109
Phone: 6812077105

LIFELINE ADDICTION SPECIALISTS (NPI# 1568994259) 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) 1568994259
Entity Type Organization
Organization Name LIFELINE ADDICTION SPECIALISTS
Practice Address 550 N Eisenhower Dr
Suite B
Beckley
WV 25801-3109
Practice Telephone 6812077105
Practice Fax Number 6812077385
Mailing Telephone 6812077105
Mailing Fax Number 6812077385
Enumeration Date 2017-03-31
Last Update Date 2017-03-31
Authorized Official Name CATHY WALKER MUNCY (OWNER)
Authorized Official Telephone 6812077105
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
WV Ambulatory Health Care Facilities

Office Location

Street Address 550 N EISENHOWER DR
SUITE B
City BECKLEY
State WV
Zip Code 25801-3109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811443302 Reality Check Drug Testing Clinical Medical Laboratory 550 N Eisenhower Dr, Beckley, WV 25801-3109 2016-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144835190 Misty Dawn Chambers Psychologist 154 Lagoon Way, Beckley, USA 25801 2020-09-15
1912511437 Katherine Lynne Mcghee Technician 120 Schlager Dr., Beckley, WV 25801 2020-09-02
1255942421 Tyesha Burger Technician 442 Industrial Dr, Beckley, WV 25801 2020-08-12
1053920553 Angela Sanches Case Manager/Care Coordinator 134 Gooseberry Ln, Beckley, WV 25801 2020-07-30
1871119933 Tiffani Michelle Dale Counselor 111 Coral Court, Apt 5, Beckley, WV 25801 2020-06-24
1679046049 Liberty Dental Centers Dentist 102 Galleria Plaza, Beckley, WV 25801 2019-01-08
1952884942 Susan Rae Rash Nurse Practitioner 250 Stanaford Rd Ste 203, Beckley, WV 25801 2018-09-14
1689169039 Megan Rae Walker Dentist 3153 Robert C. Byrd Drive, Beckley, WV 25801 2018-06-28
1104318625 Mountain State Vascular, Inc. Surgery 121 George Street, Beckley, WV 25801 2018-05-31
1356841100 Harper Road Treatment Center LLC Family Medicine 1802 Harper Rd Ste 202, Beckley, WV 25801 2018-02-19
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982604997 Mountain State Ent & Facial Plastic Surgery, Inc Clinic/Center 86 Brookshire Ln, Beckley, WV 25801-6765 2005-08-01
1013557982 Mountaineer Wellness and Recovery Centers LLC Clinic/Center 310 George St, Beckley, WV 25801-2653 2020-01-08
1447424569 Asthma Allergy & Immunology Pllc Clinic/Center 2962 Robert C. Byrd Drive, Beckley, WV 25801 2008-04-18
1427178763 Harold E. Harvey II, Md, Pllc Clinic/Center 214 Professional Park, Beckley, WV 25801-3624 2007-03-30
1811021892 Vein Care of The Virginias Pllc Clinic/Center 921 W Neville St, Suite 200, Beckley, WV 25801-4360 2007-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275150351 Wv Wellness and Recovery LLC Clinic/Center 4 Putnam Village Drive, Hurricane, WV 25526 2020-07-06
1174881916 West Virginia Dermatology and Skin Surgery Center Clinic/Center 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 2012-04-30
1376829671 Kidney Specialists, Pllc Clinic/Center 176 Health Care Ln Ste A, Martinsburg, WV 25401-4010 2011-10-31
1326166463 Kanawha Valley Neurology Clinic/Center 3847 Teays Valley Rd, Suite D, Hurricane, WV 25526-9622 2007-03-27
1356349161 Grant Memorial Hospital Clinic/Center 1 Hospital Drive, Petersburg, WV 26847 2005-07-14
1346248283 Grant Memorial Hospital Clinic/Center 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 2005-07-13
1609333830 House of Grace LLC Clinic/Center 401 Camden Rd, Huntington, WV 25704-2708 2019-02-25
1811405616 Holistic, Inc Clinic/Center 303 6th Ave, Saint Albans, WV 25177-2838 2018-01-15
1891220695 Valley Family Medicine Pllc Clinic/Center 215 S Louisiana Ave Ste A, Martinsburg, WV 25401-2023 2017-04-29
1750710141 Neurology Center of Excellence Clinic/Center 1004 Tavern Rd, Martinsburg, WV 25401-2864 2013-11-05
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Competitor

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City BECKLEY
Zip Code 25801

Improve Information

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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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