NPIMap

Organization Active NPI

Greenbrier Clinic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • White Sulphur Springs, WV
National Provider Identifier
1174713382
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
00050 Issued in WV
Legal business name
GREENBRIER CLINIC SURGERY CENTER
Practice address
320 W Main St
White Sulphur Springs, WV 24986-2414
Phone
(304) 536-4870
Fax
(304) 536-1325
NPI assigned
Jul 25, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENBRIER CLINIC INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Leta M Morgan
Title
Controller
Phone
(304) 536-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 00050 WV Primary

Addresses

Primary practice location

320 W Main St
White Sulphur Springs, WV 24986-2414

Mailing address

320 W Main St
White Sulphur Springs, WV 24986-2414
Phone (304) 536-4870

Other identifiers 1

IdentifierTypeStateIssuer
P00128411OtherWVRAILROAD PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000234 WV Part B Supplier - Ambulatory Surgical Center 4688852338 Practice locations: White Sulphur Springs, WV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Greenbrier ClinicCCN 51C0001013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
The Greenbrier Clinic I

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1174713382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER CLINIC SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENBRIER CLINIC INC.",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LETA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "304-536-4870"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WV",
            "license": "00050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P00128411",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.