NPIMap

Organization Active NPI

Highland Health Center, Inc.

  • Community/Behavioral Health Agency
  • Charleston, WV
National Provider Identifier
1376760686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
385 Issued in WV
Legal business name
HIGHLAND HEALTH CENTER, INC.
Practice address
300 56TH St SE
Charleston, WV 25304-2308
Phone
(304) 926-1669
Fax
(304) 925-2099
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David M McWatters III
Title
Chief Executive Officer
Phone
(304) 348-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 385 WV Primary

Addresses

Primary practice location

300 56TH St SE
Charleston, WV 25304-2308

Mailing address

300 56TH St SE
Charleston, WV 25304-2308
Phone (304) 926-1669

Other identifiers 2

IdentifierTypeStateIssuer
3810008235MedicaidWV
3810008237MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376760686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042308",
            "telephone_number": "304-926-1669",
            "fax_number": "304-925-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042308",
            "telephone_number": "304-926-1669",
            "fax_number": "304-925-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWATTERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-348-1401",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008235",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008237",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.