BECKLEY TREATMENT CENTER, LLC (NPI# 1598167496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598167496 |
| Entity Type | Organization |
| Organization Name | BECKLEY TREATMENT CENTER, LLC |
| Practice Address |
175 Philpott Ln Beaver WV 25813-9501 |
| Practice Telephone | 3042549262 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | JOHN PELOQUIN (CTC DIVISION PRESIDENT) |
| Authorized Official Telephone | 7607100951 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558876383 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2017-12-01 |
| Street Address |
175 PHILPOTT LN |
| City | BEAVER |
| State | WV |
| Zip Code | 25813-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205748 | Matthew Miller | Counselor | 175 Philpott Ln, Beaver, WV 25813-9501 | 2020-08-13 |
| 1558876383 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1457476525 | M I Dababnah Md Inc | Clinic/Center | 856 S. Ritter Dr., Beaver, WV 25813 | 2007-03-20 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| Find all providers in zip 25813 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| 1558876383 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629290127 | Martinsburg Institiute | Clinic/Center | 223 Eagle School Rd, Martinsburg, WV 25404-3367 | 2007-05-03 |
| 1013029156 | Clarksburg Treatment Center | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2006-08-31 |
| 1982614772 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2006-08-08 |
| 1255349445 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2006-08-03 |
| 1982268405 | Msrc, LLC | Clinic/Center | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2019-04-30 |
| 1891201703 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2017-12-15 |
| 1124533930 | Clarksburg Treatment Center, LLC | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2017-12-04 |
| 1689189490 | Williamson Treatment Center, LLC | Clinic/Center | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2017-12-04 |
| 1497260202 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2017-12-04 |
| 1669987475 | Parkersburg Treatment Center, LLC | Clinic/Center | 184 Holiday Hills Dr, Parkersburg, WV 26104-8006 | 2017-12-04 |
| 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.