NPIMap

Organization Active NPI

Convenience Clinics of America, Inc

  • Urgent Care Clinic/Center
  • Parkersburg, WV
National Provider Identifier
1235316027
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
WV20217 Issued in WV
Legal business name
CONVENIENCE CLINICS OF AMERICA, INC
Practice address
2107 Pike St Ste 5
Parkersburg, WV 26101-6973
Phone
(304) 424-4150
Fax
(304) 424-4151
NPI assigned
Jan 24, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Gregory Evan Krause, M.D.NPI 1588625974
Title
President
Phone
(304) 424-4150

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X WV20217 WV Primary

Addresses

Primary practice location

2107 Pike St Ste 5
Parkersburg, WV 26101-6973

Mailing address

1905 Ann St
Parkersburg, WV 26101-2504
Phone (304) 424-4150

National Provider Directory

National Provider Directory

Locations

260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949

2107 Pike St
Ste 5
Parkersburg, WV 26101
Phone (304) 424-4150

324 Penco Rd
Weirton, WV 26062
Phone (304) 224-1096

Practitioners & affiliated clinicians

Practitioners 10

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": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1235316027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012504",
            "telephone_number": "304-424-4150",
            "fax_number": "304-424-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PIKE ST STE 5",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016973",
            "telephone_number": "304-424-4150",
            "fax_number": "304-424-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENCE CLINICS OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-424-4150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": "WV20217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.