NPIMap

Organization Active NPI

Faith Family Health, LLC

Doing business as Faith Family Helalth

  • Primary Care Clinic/Center
  • Princeton, WV
National Provider Identifier
1104468842
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAITH FAMILY HEALTH, LLC
Doing business as
Faith Family Helalth
Practice address
617 Mercer St
Princeton, WV 24740-3111
Phone
(304) 887-3530
NPI assigned
Oct 15, 2019
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Mrs. Mary S Curry, FNP-CNPI 1427500461
Title
Managing Member
Phone
(304) 887-3530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

617 Mercer St
Princeton, WV 24740-3111

Mailing address

609 Mercer St
Princeton, WV 24740-3111
Phone (304) 887-3530

Other practice location 1

609 Mercer St
Princeton, WV 24740-3111
Phone (304) 425-2405

Other practice location 2

1051 Stafford Dr
Princeton, WV 24740-2409
Phone (304) 425-2408

Other names 1

  • Faith Family Helalth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200325001523 WV Part B Supplier - Clinic/Group Practice 4587092531 Receives reassigned benefits from 5 practitioners
Practice locations: Princeton, WV

National Provider Directory

National Provider Directory
Tax ID family
Faith Family Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

300 Morrison Dr
Princeton, WV 24740
Phone (304) 425-7902

609 Mercer St
Princeton, WV 24740
Phone (304) 425-2405

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20555/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1104468842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403111",
            "telephone_number": "304-887-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403111",
            "telephone_number": "304-887-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Mercer St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247403111",
            "country_code": "US",
            "telephone_number": "304-425-2405",
            "fax_number": "304-425-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Stafford Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402409",
            "country_code": "US",
            "telephone_number": "304-425-2408",
            "fax_number": "304-425-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITH FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-887-3530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Family Helalth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith Family Helalth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.