NPIMap

Organization Active NPI

Central WV Medcorp, Inc

Doing business as Central Wvmedcorp Loc Lab

  • Clinical Medical Laboratory
  • Buckhannon, WV
National Provider Identifier
1124297346
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRAL WV MEDCORP, INC
Doing business as
Central Wvmedcorp Loc Lab
Practice address
11 N Locust St
Buckhannon, WV 26201-2231
Phone
(304) 472-4968
Fax
(304) 472-6382
NPI assigned
Feb 21, 2008
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Richard Edward Piccirillo, M.D.NPI 1972606812
Title
President
Phone
(304) 636-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X WV Primary

Addresses

Primary practice location

11 N Locust St
Buckhannon, WV 26201-2231

Mailing address

P.O. Box 2630
Central WV Medcorp, Inc.
Elkins, WV 26241-2630
Phone (304) 637-3799

Other names 1

  • CENTRAL WVMEDCORP LOC LAB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central WV Medcorp Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1124297346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2630",
            "address_2": "CENTRAL WV MEDCORP, INC.",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262412630",
            "telephone_number": "304-637-3799",
            "fax_number": "304-637-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N LOCUST ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012231",
            "telephone_number": "304-472-4968",
            "fax_number": "304-472-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WV MEDCORP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PICCIRILLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-636-7451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL WVMEDCORP LOC LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.