CLAY-BATTELLE HEALTH SERVICES ASSOCIATION (NPI# 1699830752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699830752 |
| Entity Type | Organization |
| Organization Name | CLAY-BATTELLE HEALTH SERVICES ASSOCIATION |
| Other Organization Name | CLAY-BATTELLE COMMUNITY HEALTH CENTER |
| Practice Address |
5861 Mason Dixon Hwy Blacksville WV 26521 |
| Mailing Address |
Po Box 72 Blacksville WV 26521-0072 |
| Practice Telephone | 3044328211 |
| Practice Fax Number | 3044328213 |
| Mailing Telephone | (304) 432-8211 |
| Mailing Fax Number | 3044328213 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. JANICE MORRIS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3044328211 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RR MC | CN0274 | 01 |
| WV | MS BCBS | 001709531 | 01 |
| RAILROAD MEDICARE | CN0274 | 01 | |
| WV | 0035288000 | 05 |
| Other Name | Type Code |
|---|---|
| Clay-Battelle Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437214509 | Clay-battelle Health Services Association | Family Medicine | 60 May Ln, Ste 102, Burton, WV 26562-9669 | 2006-12-27 |
| 1346305315 | Clay-battelle Health Services Association | Clinical Medical Laboratory | 60 May Ln Ste 102, Burton, WV 26562-9669 | 2006-12-27 |
| 1902961980 | Clay-battelle Health Services Association | Dentist | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-12-27 |
| 1215092473 | Clay-battelle Health Services Association | Clinical Medical Laboratory | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLAY-BATTELLE HEALTH SERVICES ASSOCIATION | 5861 Mason Dixon Hwy, Blacksville, WV 26521 |
| Street Address |
5861 MASON DIXON HWY |
| City | BLACKSVILLE |
| State | WV |
| Zip Code | 26521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396752861 | William Reeves Minor | Family Medicine | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-08-01 |
| 1255957551 | Seneca Abbie Field | Social Worker | 5861 Mason Dixon Hwy, Blacksville, WV 26521-8300 | 2020-06-23 |
| 1508267196 | Megan Moore Curry | Physician Assistant | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2014-09-15 |
| 1588849756 | Larissa Janette Fordyce-richards | Family Medicine | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2008-01-07 |
| 1457565558 | Wade Vincent Harvey | Family Medicine | 5861 Mason Dixon Hwy, Blacksville, WV 26521-8300 | 2007-05-09 |
| 1902961980 | Clay-battelle Health Services Association | Dentist | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-12-27 |
| 1215092473 | Clay-battelle Health Services Association | Clinical Medical Laboratory | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447407150 | Tri-county Health Clinic Inc | Pharmacy | 5851 Mason Dixon Hwy, Blacksville, WV 26521 | 2008-08-25 |
| 1790741411 | Louis Ortenzio Jr. | Family Medicine | 5861 Mason Dixon Highway, Box 72, Blacksville, WV 26521 | 2006-04-21 |
| 1962468603 | Allison Wilson | Dentist | 5861 Mason-dixon Highway, Box 72, Blacksville, WV 26521 | 2006-04-21 |
| 1952615759 | Julie A Goist | Dentist | 5861 Mason Dixon Highway, Blacksville, WV 26521 | 2010-08-04 |
| 1164660965 | Andrea Marie Hoekje | Physician Assistant | 5861 Mason Dixon Highway, Blacksville, WV 26521 | 2009-02-02 |
| 1437115169 | Tara Hilleary | Dentist | 5861 Mason-dixon Highway, Box 72, Blacksville, WV 26521 | 2006-04-21 |
| 1528024288 | Jodie Howell | Family Medicine | 5861 Mason-dixon Highway, Box 72, Blacksville, WV 26521 | 2006-04-21 |
| 1649427949 | Mark A. Hose | Physical Therapist | 5804 Mason Dixon Hwy, Blacksville, WV 26521-9998 | 2008-08-19 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSVILLE |
| Zip Code | 26521 |
Please comment or provide details below to improve the information on CLAY-BATTELLE HEALTH SERVICES ASSOCIATION.
| 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.