NPIMap

Organization Active NPI

Highland-Clarksburg Hospital

  • Psychiatric Hospital
  • Clarksburg, WV
National Provider Identifier
1477990109
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
HIGHLAND-CLARKSBURG HOSPITAL
Practice address
3 Hospital PLZ
Clarksburg, WV 26301-9316
Phone
(304) 969-3100
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Kathy Burr
Title
Executive Assistant
Phone
(304) 969-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

3 Hospital PLZ
Clarksburg, WV 26301-9316

Mailing address

3 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 969-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130819000468 WV Part A Provider - Hospital 2567604754 Practice locations: Clarksburg, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1477990109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-969-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-969-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND-CLARKSBURG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "304-969-3102"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.