Organization Active NPI

P & P Health Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Glen Dale, WV
National Provider Identifier
1033399175
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
0501 Issued in WV
Legal business name
P & P HEALTH SERVICES, INC.
Practice address
26 Sun Vly
Glen Dale, WV 26038-1222
Phone
(304) 845-7528
Fax
(304) 845-5214
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia A Maroney, R.T.
Title
Owner/Operator
Phone
(304) 845-7528

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 0501 WV Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X R2374519 OH

Addresses

Primary practice location

26 Sun Vly
Glen Dale, WV 26038-1222

Mailing address

26 Sun Vly
Glen Dale, WV 26038-1222
Phone (304) 845-7528

Other identifiers 4

IdentifierTypeStateIssuer
630001659OtherWVRAILROAD MCR
0717013MedicaidOH
001710535OtherWVBLUE CROSS BLUE SHIELD
0036366000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1307 Lafayette Ave
Moundsville, WV 26041
Phone (304) 845-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1033399175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SUN VLY",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381222",
            "telephone_number": "304-845-7528",
            "fax_number": "304-845-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SUN VLY",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381222",
            "telephone_number": "304-845-7528",
            "fax_number": "304-845-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & P HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MARONEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "304-845-7528",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WV",
            "license": "0501",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "R2374519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "630001659",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717013",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710535",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036366000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.