RAINELLE MEDICAL CENTER INC (NPI# 1932293941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932293941 |
Entity Type | Organization |
Organization Name | RAINELLE MEDICAL CENTER INC |
Other Organization Name | MEADOW BRIDGE CLINIC PAAS FQHC |
Practice Address |
1502 Meadow Bridge Road Meadow Bridge WV 25976 |
Mailing Address |
Po Box 120 Meadow Bridge WV 25976 |
Practice Telephone | 3044847755 |
Practice Fax Number | 3044846205 |
Mailing Telephone | 3044847755 |
Mailing Fax Number | 3044846205 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. FLOYD N PRICE (CEO) |
Authorized Official Telephone | 3044386188 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
045967 | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0035241003 | 05 |
Other Name | Type Code |
---|---|
Meadow Bridge Clinic PAAS FQHC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093883324 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Rd, Meadow Bridge, WV 25976-9655 | 2006-12-04 |
1821166141 | Rainelle Medical Center Inc | Clinic/Center | 406 Nicholas Street, Rupert, WV 25984 | 2006-12-04 |
1437227766 | Rainelle Medical Center Inc | Clinic/Center | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-12-04 |
1538237862 | Rainelle Medical Center Inc | Obstetrics & Gynecology | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-12-04 |
1811081821 | Rainelle Medical Center Inc | Clinic/Center | 406 Nicholas Street, Rupert, WV 25984 | 2006-10-03 |
Street Address |
1502 MEADOW BRIDGE ROAD |
City | MEADOW BRIDGE |
State | WV |
Zip Code | 25976 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972670412 | Karen Elizabeth Wood | Nurse Practitioner | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417561622 | Tonya L Nutter | Technician | 440 Backus Mountain Rd, Meadow Bridge, WV 25976 | 2020-09-04 |
1225135536 | Dianna Gail Bolen | Physician Assistant | 8971 Sewell Creek Road, Meadow Bridge, WV 25976 | 2006-09-20 |
1740894476 | Joyce Ann Lyons | Technician | 309 Cox Branch Ln, Meadow Bridge, WV 25976-1104 | 2020-09-01 |
1376154559 | Maryann Schuller | Technician | 6423 Backus Mtn, Meadow Bridge, WV 25976-5639 | 2020-08-12 |
1801409362 | Tammy Lynn Hansen | Technician | 8517 Backus Mtn, Meadow Bridge, WV 25976-5657 | 2020-08-25 |
1568075919 | Victoria Lynn Baxley | Technician | 2844 Springdale Rd, Meadow Bridge, WV 25976-6954 | 2020-08-26 |
1891395331 | Bradley Layton Clark | Technician | 8620 Sewell Creek Rd, Meadow Bridge, WV 25976-7674 | 2020-10-26 |
1750995486 | Heather Denise Kincaid | Technician | 2645 Danese Rd, Meadow Bridge, WV 25976-9163 | 2020-09-01 |
1053919696 | Katherine Ann Adkins | Technician | 71 Alpine Ct, Meadow Bridge, WV 25976-9204 | 2020-10-15 |
1578903233 | Chevele Ann Hardiman | Massage Therapist | 249 Lawn Rd, Meadow Bridge, WV 25976-9260 | 2013-06-26 |
Find all providers in zip 25976 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
1003810557 | University Physicians & Surgeons, Inc. | Clinic/Center | 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 | 2005-06-10 |
Find all providers with the same taxonomy |
City | MEADOW BRIDGE |
Zip Code | 25976 |
Please comment or provide details below to improve the information on RAINELLE MEDICAL CENTER INC.
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.