NPIMap

Organization Active NPI

Victorino D Chin MD (Dba Holy Family Health Clinic)

Doing business as Holy Family Health Clinic

  • Family Medicine Physician
  • Moundsville, WV
National Provider Identifier
1477733467
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10205 Issued in WV
Legal business name
VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)
Doing business as
Holy Family Health Clinic
Practice address
1110 2ND St
Moundsville, WV 26041-1451
Phone
(304) 845-1460
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Victorino D. Chin, M.D.
Title
Medical Doctor
Phone
(304) 845-1460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 10205 WV Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 35035509C OH

Addresses

Primary practice location

1110 2ND St
Moundsville, WV 26041-1451

Mailing address

PO Box N
Moundsville, WV 26041-0964
Phone (304) 845-1460

Other identifiers 3

IdentifierTypeStateIssuer
0169884MedicaidOH
0007241000MedicaidWV
021029481OtherOHRAILROAD MEDICARE

Other names 1

  • Holy Family Health Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1477733467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX N",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260410964",
            "telephone_number": "304-845-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 2ND ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411451",
            "telephone_number": "304-845-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORINO D CHIN MD (DBA HOLY FAMILY HEALTH CLINIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "VICTORINO",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "304-845-1460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "10205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35035509C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169884",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007241000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "021029481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.