NPIMap

Organization Active NPI

Eastridge Health Systems

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1275701674
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BP00939896 Issued in WV
Legal business name
EASTRIDGE HEALTH SYSTEMS
Practice address
235 S Water St
Martinsburg, WV 25401-4241
Phone
(304) 263-8954
NPI assigned
Feb 19, 2008
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Monica Cogle, LGSW, MSW
Title
Children's Outreach Liaison
Phone
(304) 263-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BP00939896 WV Primary

Addresses

Primary practice location

235 S Water St
Martinsburg, WV 25401-4241

Mailing address

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

National Provider Directory

National Provider Directory
Tax ID family
Eastridge Health Systems10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/eastridgehealthsystems/r4/

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1275701674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTRIDGE HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "COGLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CHILDREN'S OUTREACH LIAISON",
        "authorized_official_telephone_number": "304-263-8954",
        "authorized_official_credential": "LGSW, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "BP00939896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.