Ralph Hubbard

Individual provider Active NPI Case Manager/Care Coordinator · Maxwelton, WV

NPI 1104733419 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1104733419
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone
(304) 497-0500
NPI assigned
Aug 25, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

804 Industrial Park Rd
Maxwelton, WV 24957-8066

Mailing address

131 Wellness Dr
Summersville, WV 26651-5402

Other providers in Maxwelton, WV

All providers in Maxwelton, WV · Case Manager/Care Coordinator in West Virginia

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.