Proctorville Health Care, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROCTORVILLE HEALTH CARE, LLC

Practice address

501 State St
Proctorville, OH 45669-3015

Phone

(740) 886-2676

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Anita Wippel, FNP-C

Title

Owner

Phone

(740) 886-2674

Specialties & licenses 1

Addresses

Tax ID family

Proctorville Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proctorville Health Care, LLC

  • Clinic/Center
  • Proctorville, OH
  • NPI 1659464790
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043357098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STATE ST",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456693015",
            "telephone_number": "740-886-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ST",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456693015",
            "telephone_number": "740-886-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTORVILLE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIPPEL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-886-2674",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jean Porter
• Micki Porter
• Timothy Ray Porter
• Veronica Renea Porter, PHARMD
• Premier Therapy & Health Centers, Inc.
• Proctorville Health Care, LLC
• Proctorville Health Care, LLC
• Professional Sleep Diagnostics, Inc
• Larin Lynn Rearden, LSW
• Regal Recovery Care, LLC

• Clinical Medical Laboratory in Proctorville, OH
• Providers in Proctorville, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.