SUMMERSVILLE OUTPATIENT CENTER (NPI# 1588039242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588039242 |
| Entity Type | Organization |
| Organization Name | SUMMERSVILLE OUTPATIENT CENTER |
| Other Organization Name | ANSTED CLINIC |
| Practice Address |
100 Florence Street Ansted WV 25812 |
| Mailing Address |
400 Fairview Heights Rd Summersville WV 26651-9308 |
| Practice Telephone | 3048830220 |
| Practice Fax Number | 3048728417 |
| Mailing Telephone | 3048830220 |
| Mailing Fax Number | 3048728417 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MARK LOVELL (CFO) |
| Authorized Official Telephone | 3048722891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ansted Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992244081 | Summersville Outpatient Center | Podiatrist | 702 Proffessional Park Dr, Summersville, WV 26651-2018 | 2017-02-22 |
| 1619410693 | Summersville Outpatient Center | Urology | 702 Professional Park Dr, Summersville, WV 26651-2018 | 2016-11-23 |
| Street Address |
100 FLORENCE STREET |
| City | ANSTED |
| State | WV |
| Zip Code | 25812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1275144420 | Kenneth Carter Marks | Home Health Aide | 27 Halstead Street, B, Ansted, WV 25812 | 2020-08-12 |
| 1548757115 | Devon Steele | Physical Therapy Assistant | 96 Tyree St, Ansted, WV 25812 | 2018-04-18 |
| 1689111247 | Natosha Wilson | Occupational Therapy Assistant | 96 Tyree Street, Ansted, WV 25812 | 2017-01-20 |
| 1013140433 | Kiley Michelle Price | Occupational Therapy Assistant | 106 Tyree St., Ansted, WV 25812 | 2009-09-02 |
| 1538287594 | Erica Withrow | Occupational Therapy Assistant | Old Midland Trail-rt 60, Ansted, WV 25812 | 2007-03-27 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1134259278 | Shawn Edward Strickland | Physician Assistant | 101 Florence Street, Ansted, WV 25812 | 2007-03-07 |
| 1477592103 | Genesis Health Ventures of West Virginia L P | Skilled Nursing Facility | 106 Tyree Street, Ansted, WV 25812 | 2006-06-06 |
| 1164910782 | Amber Whitmore | Speech-Language Pathologist | 96 Tyree St, Ansted, WV 25812 | 2018-04-30 |
| Find all providers in zip 25812 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1801283882 | Mingo County Family Wellness Center LLC | Clinic/Center | 50 Lenore Business Center, Williamson, WV 25661 | 2015-04-17 |
| 1639412398 | Potomac Integrative Health Pllc | Clinic/Center | 51 Maddex Square Drive, Shepherdstown, WV 25443-4310 | 2013-04-01 |
| 1831447499 | William Conrad Inc. | Clinic/Center | 154 Oak View Ln, New Creek, WV 26743-4544 | 2012-08-29 |
| 1548518095 | Charles Town Health Right, Inc | Clinic/Center | 1212 N. Mildred St., Ranson, WV 25438-5552 | 2012-08-15 |
| 1154676096 | Mebrahtom Tesfai Pllc | Clinic/Center | 212 Professional Park, Beckley, WV 25801-3624 | 2012-07-17 |
| 1679832646 | Health Thru Care, LLC | Clinic/Center | 1397 Earl L. Core Road, Sabraton Plaza, Morgantown, WV 26505 | 2012-05-11 |
| 1811261225 | Bruceton Medical Center | Clinic/Center | 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 | 2012-03-02 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| 1588961577 | City Pediatrics | Clinic/Center | 1804 W King St, Suite 200, Martinsburg, WV 25401-2004 | 2011-02-28 |
| 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.