Organization Active NPI

War Memorial Hospital, Inc.

  • Family Medicine Physician
  • Berkeley Springs, WV
National Provider Identifier
1083755656
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAR MEMORIAL HOSPITAL, INC.
Practice address
83 War Memorial Drive
Berkeley Springs, WV 25411-1737
Phone
(304) 258-0506
Fax
(304) 258-0508
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Mr. Neil R. McLaughlin
Title
President
Phone
(304) 258-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

83 War Memorial Drive
Berkeley Springs, WV 25411-1737

Mailing address

109 War Memorial Drive
Berkeley Springs, WV 25411-1743
Phone (304) 258-1234

Other identifiers 3

IdentifierTypeStateIssuer
001709356OtherWVMOUNTAIN STATE BCBS
55-0403903OtherTAX ID
3810008192MedicaidWV

Other names 1

  • Community Physicians of War Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Physicians of War Memorial10 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.

Locations

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

97 Administrative Dr
Ste 200A
Martinsburg, WV 25404
Phone (304) 350-3230

1008 Tavern Rd
Ste 202
Martinsburg, WV 25401
Phone (540) 536-3228

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1083755656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WAR MEMORIAL DRIVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111743",
            "telephone_number": "304-258-1234",
            "fax_number": "304-258-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WAR MEMORIAL DRIVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111737",
            "telephone_number": "304-258-0506",
            "fax_number": "304-258-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAR MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-258-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001709356",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "55-0403903",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008192",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Physicians of War Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.