HIGHLAND-CLARKSBURG HOSPITAL (NPI# 1861973547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861973547 |
| Entity Type | Organization |
| Organization Name | HIGHLAND-CLARKSBURG HOSPITAL |
| Practice Address |
3 Hospital Plz Clarksburg WV 26301-9316 |
| Practice Telephone | 3049693100 |
| Mailing Telephone | 3049693100 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | NANCY MICHELLE GIAQUINTO (CFO) |
| Authorized Official Telephone | 3049693100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIGHLAND-CLARKSBURG HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1710317276 | 05 | |
| WV | 1477990109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477990109 | Highland-clarksburg Hospital | Psychiatric Hospital | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2013-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HIGHLAND-CLARKSBURG HOSPITAL, INC. | 3 Hospital Plz, Clarksburg, WV 26301-9316 |
| Street Address |
3 HOSPITAL PLZ |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597204 | Tekisha Dehaven Waddell | Social Worker | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2018-02-12 |
| 1033620919 | Jessica Hope Cooper | Social Worker | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2017-10-18 |
| 1154848893 | Valerie Lynn Hutson | Counselor | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2017-08-24 |
| 1083139141 | Kimberly Ann Downey | Counselor | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2017-08-10 |
| 1194257691 | Leesa Jackson | Counselor | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2017-04-03 |
| 1235675398 | Julie Ann Bozarth | Counselor | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2017-01-13 |
| 1043620461 | Fred Jay Frazier IIi | Nurse Practitioner | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2014-05-07 |
| 1710317276 | Highland Clarksburg Hospital Inc. | Psychiatric Hospital | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2013-11-20 |
| 1477990109 | Highland-clarksburg Hospital | Psychiatric Hospital | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2013-06-04 |
| 1700221678 | Caitlin Alexis Caveney | Psychiatry & Neurology | 3 Hospital Plz, Clarksburg, WV 26301-9316 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760037014 | Recovery Point West Virginia Behavioral Health Inc | Substance Abuse Rehabilitation Facility | 419 12th St, Huntington, WV 25701-2212 | 2019-08-05 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1952883019 | Advocate House Inc | Substance Abuse Rehabilitation Facility | 738 Washington Ave, Huntington, WV 25701-1056 | 2018-09-05 |
| 1346743481 | Sugar Grove Mbh-ga, LLC | Substance Abuse Rehabilitation Facility | 133 Hedrick Dr, Sugar Grove, WV 26815-5068 | 2018-03-15 |
| 1205354479 | Re-entry and Recovery Network | Substance Abuse Rehabilitation Facility | 2045 9th Ave, Huntington, WV 25703-1801 | 2017-09-07 |
| 1588189997 | Palms Resource Center | Substance Abuse Rehabilitation Facility | 303 Olive St, Huntington, WV 25705-1520 | 2017-08-07 |
| 1770018855 | New Beginnings Drug Treatment Center Inc | Substance Abuse Rehabilitation Facility | 4855 Mccorkle Ave Sw, New Beginnings Drug Treatment Center Inc, South Charleston, WV 25309-1331 | 2017-04-26 |
| 1467900514 | New Beginnings Drug Treatment Center | Substance Abuse Rehabilitation Facility | 5257 Big Tyler Rd, Cross Lanes, WV 25313-1839 | 2016-09-19 |
| 1316394679 | Open Minds Recovery Services | Substance Abuse Rehabilitation Facility | 101 Martin Dr, Mount Hope, WV 25880-1509 | 2016-05-17 |
| 1639733744 | Hope for Tomorrow | Substance Abuse Rehabilitation Facility | 3471 Ohio River Rd, Point Pleasant, WV 25550-4401 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.