WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC, INC (NPI# 1992826176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992826176 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC, INC |
| Other Organization Name | ROBERT C. BYRD CLINIC |
| Practice Address |
1464 Jefferson St N Lewisburg WV 24901-1380 |
| Mailing Address |
400 North Jefferson Street Lewisburg WV 24901 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3047932491 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3046454103 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | JILL MCCLUNG (DIR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 3046453220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0006045004 | 05 |
| Other Name | Type Code |
|---|---|
| Robert C. Byrd Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220303 | West Virginia School of Osteopathic Medicine Clinic, Inc | Nurse Practitioner | 356 Nicholas Street, Rupert, WV 25984 | 2017-12-08 |
| Street Address |
1464 JEFFERSON ST N |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659561 | Belinda K Smith | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2005-06-16 |
| 1730703893 | Joshua Paul Ennis | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1063036127 | Vernon Leung | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1407494883 | Meghan R Pankey | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2019-12-16 |
| 1013496991 | West Virginia School of Osteopathic Medicine Clinic Inc | Psychologist | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-08-10 |
| 1417447855 | Robert Joseph Tavares | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-05-11 |
| 1750818316 | Chelsea Feger | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-05-15 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1730626029 | Jenifer Richmond | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-01-24 |
| 1902351547 | Morgan Bergeson | Dietitian, Registered | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2016-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255774543 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1464 Jefferson Street North, Lewisburg, WV 24901-1380 | 2013-04-17 |
| 1760769442 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 45 Forestwood Dr, Lewisburg, PA 17837-6213 | 2011-11-09 |
| 1952588089 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 3 Hospital Dr, Suite 206, Lewisburg, PA 17837-9362 | 2008-01-31 |
| 1750564076 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 55 N 5th St, Lewisburg, PA 17837-1407 | 2007-12-10 |
| 1679756993 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 3 Hospital Dr, Suite 214, Lewisburg, PA 17837-9362 | 2007-12-10 |
| 1831222413 | Physicians Quick Care Plus Lab | Clinical Medical Laboratory | 75 Seneca Trl Ste 8, Lewisburg, WV 24901-1579 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
| 1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
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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.