MSRC, LLC (NPI# 1982268405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982268405 |
| Entity Type | Organization |
| Organization Name | MSRC, LLC |
| Other Organization Name | MOUNTAIN STATE RECOVERY CENTER |
| Practice Address |
102 Patrick Street Plz Charleston WV 25387-2444 |
| Mailing Address |
8 River Walk Mall South Charleston WV 25303-1026 |
| Practice Telephone | 3042233200 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | JOSHUA PRESTON GALBRAITH (OWNER) |
| Authorized Official Telephone | 3042233200 |
| 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 |
| Other Name | Type Code |
|---|---|
| Mountain State Recovery Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Washington Ave, Huntington, WV 257011042 | 3042333200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288623 | Msrc, LLC | Clinical Medical Laboratory | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2019-04-30 |
| 1194294587 | Msrc, LLC | Clinical Medical Laboratory | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2018-11-15 |
| Street Address |
102 PATRICK STREET PLZ |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25387-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043608326 | Joseph Shaffer | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2015-01-08 |
| 1003415597 | Loretta Rogers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-10-26 |
| 1538773221 | Kathryn Paige Hauldren | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-09-01 |
| 1447862768 | Robert Aaron Burton | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-08-18 |
| 1902422066 | Tanya Freeman | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-24 |
| 1548884075 | Kenneth Brown | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-01 |
| 1831711134 | Regina Veltri | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-11 |
| 1619599024 | Patrick Brown | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-08 |
| 1629699434 | Autumn Renee Mccraw | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-04 |
| 1841825221 | Brandy Nicole Swift | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679792493 | Letitia Elaine Tierney | Internal Medicine | Familycare Health Center, 116 N. Hills Plaza, Charleston, WV 25387 | 2007-04-24 |
| 1285960856 | Holly R. Murriner | Physician Assistant | 116 Hills Plz, Charleston, WV 25387 | 2009-11-02 |
| 1427661651 | James Michael Adkins | Technician | 1029 Nease Dr, Charleston, WV 25387-1007 | 2020-08-27 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| 1205448610 | Christiana E Sovine | Technician | 3902 Washington St W, Charleston, WV 25387-1123 | 2020-08-18 |
| 1245841360 | Nellie Mae Ford | Technician | 802 N Hills Dr, Charleston, WV 25387-1230 | 2020-08-12 |
| 1255941316 | Itai Gravely | Technician | 1863 Sugar Creek Dr, Charleston, WV 25387-1344 | 2020-08-04 |
| 1437513538 | Paula Mooney | Social Worker | 862 Hanna Dr, Charleston, WV 25387-1402 | 2016-04-05 |
| 1952649071 | Enact, Inc. | Case Management | 1701 5th Ave Ste 7, Charleston, WV 25387-1900 | 2013-01-24 |
| 1609045400 | Womencare, Inc | Clinic/Center | 1701 5th Ave, Charleston, WV 25387-1900 | 2008-02-26 |
| Find all providers in zip 25387 | ||||
| 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 |
|---|---|---|---|---|
| 1861906687 | Charleston Treatment Center, LLC | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2017-12-01 |
| 1720480668 | Charleston Treatment Center, LLC | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2014-09-23 |
| 1255349726 | Charleston Treatment Center, LLC. | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598167496 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2014-09-23 |
| 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 |
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| 1255349445 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2006-08-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25387 |
Please comment or provide details below to improve the information on MSRC, LLC.
| 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.