Martinsburg Work Center LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MARTINSBURG WORK CENTER LLC

Practice address

24 Integrity Ter
Martinsburg, WV 25401-3524

Phone

(304) 262-9600

Fax

(304) 262-6900

NPI assigned

Jul 3, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Lee Koontz

Title

Office Assistant

Phone

(304) 262-9600

Specialties & licenses 1

Addresses

Tax ID family

Martinsburg Work Center 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.

• The Martinsburg Work Center II

  • Preferred Provider Organization
  • Martinsburg, WV
  • NPI 1730347402
  NPD tax ID

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1043417975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021265",
            "telephone_number": "304-262-9600",
            "fax_number": "304-262-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 INTEGRITY TER",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013524",
            "telephone_number": "304-262-9600",
            "fax_number": "304-262-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSBURG WORK CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "304-262-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinsburg Radiology Assoc Inc
• Martinsburg SNF LLC (Martinsburg Rehabilitation & Healthcare Center)
• Martinsburg Urgent Care Inc
• Martinsburg Vamc
• Martinsburg Vamc
• Therese Martirano, RN
• Holly D Martz, M.D.
• Kathy Martz
• Mary Ruth Lopez, MD PLLC
• Jeanne K Marzell, CNS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.