Central WV Medcorp, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

69937 Issued in WV

Legal business name

CENTRAL WV MEDCORP, INC

Practice address

911 Gorman Ave
Suite 201
Elkins, WV 26241-3082

Phone

(304) 637-6302

Fax

(304) 637-6307

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca J. Hammer

Title

Cfo

Phone

(304) 637-3156

Specialties & licenses 1

Addresses

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.

• Central WV Medcorp, Inc

  • Clinical Medical Laboratory
  • Buckhannon, WV
  • NPI 1124297346
  NPD tax ID

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1275974008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GORMAN AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413082",
            "telephone_number": "304-637-6302",
            "fax_number": "304-637-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GORMAN AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413082",
            "telephone_number": "304-637-6302",
            "fax_number": "304-637-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WV MEDCORP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-637-3156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "69937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cathcart
• Barbara Dawn Cathell
• Sharon Rose Cathell, L.M.T.
• Stacy Lynn Cave
• Briana Celli
• Justin Chamberlain
• Stephen Michael Chambers, PHARM.D.
• Esther Champ
• Anthony Chandler
• Deborah K Chandler

• Family Nurse Practitioner in Elkins, WV
• Providers in Elkins, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.