GLENVILLE STATE UNIVERSITY (NPI# 1982979548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982979548 |
| Entity Type | Organization |
| Organization Name | GLENVILLE STATE UNIVERSITY |
| Practice Address |
200 High St Glenville WV 26351-1200 |
| Mailing Address |
Po Box 819020 Dallas TX 75381-9020 |
| Practice Telephone | 3044626223 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | BRENT WALTERS (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 3044626223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
200 HIGH ST |
| City | GLENVILLE |
| State | WV |
| Zip Code | 26351-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043850191 | Glenville State College | Internal Medicine | 200 High St, Glenville, WV 26351-1200 | 2020-01-07 |
| 1598325581 | Nicole Schrader | Student in an Organized Health Care Education/Training Program | 200 High St, Glenville, WV 26351-1200 | 2019-06-20 |
| 1548754377 | Joel Roberts | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2018-06-15 |
| 1821581067 | Yoshikatsu Abe | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2018-06-12 |
| 1376801670 | Brent Walters | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2012-04-25 |
| 1871859470 | Joann Tymeson | Physical Therapist | 200 High St, Glenville, WV 26351-1200 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059838 | Nineteenth Circuit Community Corrections Program | Community/Behavioral Health | 216 West Main Street, Grafton, WA 26351 | 2017-01-17 |
| 1578841896 | Tana Renee Kevak | Nurse Practitioner | 921 Mineral Rd Ste 101, Glenville, WV 26351 | 2011-08-03 |
| 1881710598 | June Julie Turner | Naturopath | 2607 Duck Run Road, Glenville, WV 26351 | 2007-03-22 |
| 1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
| 1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
| 1982707469 | Carl Edwin Nichols | Family Medicine | Gilmer County Urgent Care, 101 College Street, Glenville, WV 26351-0299 | 2006-09-07 |
| 1669548939 | John C Westfall | Dentist | 809 Mineral Rd, Glenville, WV 26351-0700 | 2006-11-28 |
| 1679560361 | Gilmer County Ambulance Service | Ambulance | 230 W Main St, Glenville, WV 26351-1051 | 2005-09-29 |
| 1154799294 | Lasa Bree Mencer | Massage Therapist | 106 E Main St, Glenville, WV 26351-1117 | 2015-09-06 |
| 1285677013 | Mark J Cinalli Od Faao Pllc | Optometrist | 307 Howard St, Glenville, WV 26351-1170 | 2006-06-13 |
| Find all providers in zip 26351 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986408 | Caroline Gormley | Clinic/Center | 400 Lee St N, Lewisburg, WV 24901-1274 | 2020-03-10 |
| 1598868143 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1 N Marion Dr, Farmington, WV 26571-9717 | 2006-09-07 |
| 1518060581 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1993 Airport Rd, Fairmont, WV 26554-9138 | 2006-09-06 |
| 1154675460 | Davis & Elkins College | Clinic/Center | 100 Campus Dr, Athletics, Elkins, WV 26241-3971 | 2012-11-08 |
| 1134331812 | West Virginia University | Clinic/Center | 1 Medical Center Dr, Wvu Health Sciences Center, Morgantown, WV 26506-9247 | 2007-05-04 |
| 1437361326 | Wvu Student Health Service | Clinic/Center | 1 Medical Center Drive, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9247 | 2007-05-04 |
Please comment or provide details below to improve the information on GLENVILLE STATE UNIVERSITY.
| 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.