MR. RUSSELL C HOLLAND (NPI# 1972746402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972746402 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL C HOLLAND |
| Credential | CAC |
| Practice Address |
99 Tavern Rd Martinsburg WV 25401-2890 |
| Mailing Address |
Po Box 1067 Martinsburg WV 25402-1067 |
| Practice Telephone | 3042637023 |
| Practice Fax Number | 3042640508 |
| Mailing Telephone | 3042637023 |
| Mailing Fax Number | 3042640508 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
08-106 | WV | Behavioral Health & Social Service Providers |
| Street Address |
99 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617823 | Shenandoah Valley Medical System, Inc. | Clinic/Center | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2005-05-24 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| 1134752785 | Scott Damon George | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-02-21 |
| 1942831748 | Victoria Ann Flynn | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-01-30 |
| 1770141202 | Sarah Dey | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-05-30 |
| 1730642737 | Tina Marie Malgarini Mawing | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-04-08 |
| 1518439934 | Sabrina Austin | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-12-24 |
| 1649765132 | Cara Beth Burker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-06-27 |
| 1265933295 | April Marshall | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-26 |
| 1588164982 | Glenda Leanne Kay | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1669822821 | Pamela Elaine Collins | Counselor | 2883 Greensburg Rd., Martinsburg, WV 25404 | 2016-06-20 |
| 1184931594 | Vicki Marie Schmidt | Counselor | 235 S. Water Street, Martinsburg, WV 25401 | 2010-09-07 |
| 1740424506 | Shanna Wideman | Counselor | 397 Mid Atlantic Pkwy, Suite 3, Martinsburg, WV 25404-7468 | 2009-04-23 |
| 1184609828 | Deborah Maiorano | Counselor | 603b S Raleigh St, Martinsburg, WV 25401-2143 | 2005-12-14 |
| 1912554825 | Janessa Lowans | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1932756848 | Eryn Mills | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1902453822 | Emily Soffel | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1083261143 | Nick George Vindivich IIi | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-23 |
| 1174839088 | Belita Denise Bailey | Counselor | 510 Butler Ave, Cat-5, Martinsburg, WV 25405-9990 | 2010-08-30 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on MR. RUSSELL C HOLLAND.
| 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.