St. Albans Integrative Health Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

18688 Issued in WV

Legal business name

ST. ALBANS INTEGRATIVE HEALTH CENTER

Practice address

200 Main St
Saint Albans, WV 25177-2802

Phone

(304) 201-3600

Fax

(304) 201-2368

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Rudolph Michael Kevak Jr., M.D.

Title

Owner

Phone

(304) 201-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Bruce Murphy, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1194727065
  NPD (past)

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1417249459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 BOX",
            "city": "ST. ALBANS",
            "state": "WV",
            "postal_code": "25177",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772802",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALBANS INTEGRATIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "KEVAK",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-201-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WV",
            "license": "18688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britany Nicole Spencer, PRSS
• Tanille Marie Spencer, LMT
• Craig C Spicer, DDS
• Holli Spry
• St Albans Operating Company LLC
• Desiree Beth Stambaugh
• Kristina Beth Stambaugh
• Sherie Stanley
• Pamela Starkey
• Stevens Eyecare Associates PLLC

• Health Maintenance Organization in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Health Maintenance Organization in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.