NPIMap

Organization Active NPI

Eastridge

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1073756920
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BP00941825 Issued in WV
Legal business name
EASTRIDGE
Practice address
235 S Water St
Martinsburg, WV 25401-4241
Phone
(304) 263-8954
Fax
(304) 263-8141
NPI assigned
Apr 8, 2009
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Rita Quinn
Title
Chief Executive Officer
Phone
(304) 263-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BP00941825 WV Primary

Addresses

Primary practice location

235 S Water St
Martinsburg, WV 25401-4241

Mailing address

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

National Provider Directory

National Provider Directory
Tax ID family
Eastern Panhandle Mental Health Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1073756920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-263-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-263-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-263-8954"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "BP00941825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.