Coall Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

15258 Issued in WV

Legal business name

COALL INC

Practice address

74 Roxbury Rd
Fairmont, WV 26554-8223

Phone

(304) 363-9600

Fax

(304) 363-9601

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

James M Holehouse, MD

Title

Owner

Phone

(304) 363-9600

Specialties & licenses 1

Addresses

Other names 1

• Rejuv Doing business as

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1205112992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ROXBURY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548223",
            "telephone_number": "304-363-9600",
            "fax_number": "304-363-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ROXBURY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548223",
            "telephone_number": "304-363-9600",
            "fax_number": "304-363-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "HOLEHOUSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-363-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "15258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuv",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanquisha Clay
• Linda Clayton
• Michael Cleaver
• Janette Evette Clelland Atchinson, RPH
• Kelly E Clyde, M.S.
• James Cobb
• Joann Coburn
• Juliana Cochran
• Adrienne Coen
• Michael Eric Coffman Jr., MSW, LGSW, CAC,ICADC

• Specialist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.