John Manchin II & John Manchin III

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

JOHN MANCHIN II & JOHN MANCHIN III

Practice address

100 Main St
Farmington, WV 26571

Phone

(304) 825-6554

Fax

(304) 825-1371

NPI assigned

May 29, 2007

Last updated

Sep 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Manchin II, DONPI 1134231640

Title

Owner Partner

Phone

(304) 825-6554

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Manchin Clinic Other name

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396946570. Details of each certification follow.

• CCN 513865 Rural health clinic · Active · Details

Rural health clinic certification: CCN 513865

Legal name

JOHN MANCHIN II & JOHN MANCHIN III

Doing business as

THE MANCHIN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 1, 1993

Last certification

Apr 30, 2024

Ownership / control type

1C

Organization structure

PartnershipProprietary

Enrollment address

100 Main St
Farmington, WV 26571-1800

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• John Manchin II, DO

  • Family Medicine Physician
  • Farmington, WV
  • NPI 1134231640

  General Partnership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• John Manchin II, DO

  • Family Medicine Physician
  • Farmington, WV
  • NPI 1134231640
  Medicare reassignment NPD Authorized official
• Sarah Elizabeth Stiles, APRN, FNP-C

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1285364935
  Medicare reassignment
• Brandi Renee Asterino, LICSW

  • Clinical Social Worker
  • Fairmont, WV
  • NPI 1386974947
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1396946570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265710029",
            "telephone_number": "304-825-6554",
            "fax_number": "304-825-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "26571",
            "telephone_number": "304-825-6554",
            "fax_number": "304-825-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MANCHIN II & JOHN MANCHIN III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "MANCHIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "304-825-6554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034619000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchin Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Friend
• Charles Robert Gottschall
• Angela M Hager, PA
• Ashley Dawn Harper
• Patricia Ann Herron
• John Manchin III (The Drug Store)
• Ceilidh Kempton, MSW
• Theresa Kittle
• Candi Lynn Layman
• Sarah Lee

• Rural Health Clinic/Center in Farmington, WV
• Providers in Farmington, WV by specialty
• Rural Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.