NPIMap

Organization Active NPI

Mid-Valley Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Martinsville, WV
National Provider Identifier
1396961348
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
387 Issued in WV
Legal business name
MID-VALLEY HEALTHCARE LLC
Practice address
307 N Main St
New Martinsville, WV 26155-1215
Phone
(304) 234-3500
Fax
(304) 234-3511
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mark A Games
Title
Director
Phone
(304) 234-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 387 WV
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 387 WV Primary

Addresses

Primary practice location

307 N Main St
New Martinsville, WV 26155-1215

Mailing address

PO Box 6400
Wheeling, WV 26003-0801
Phone (304) 234-3500

Other identifiers 1

IdentifierTypeStateIssuer
3810008311MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Mid-Valley Healthcare LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1396961348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030801",
            "telephone_number": "304-234-3500",
            "fax_number": "304-234-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551215",
            "telephone_number": "304-234-3500",
            "fax_number": "304-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "GAMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-234-3500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "387",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008311",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.