NPIMap

Organization Active NPI

Gilbert Medical Center

  • Clinical Medical Laboratory
  • Gilbert, WV
National Provider Identifier
1487612909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GILBERT MEDICAL CENTER
Practice address
RT 80 Main St
Gilbert, WV 25621-0925
Phone
(304) 664-3223
Fax
(304) 664-3284
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Roscoe Mays III
Title
Ceo
Phone
(304) 583-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X WV Primary

Addresses

Primary practice location

RT 80 Main St
Gilbert, WV 25621-0925

Mailing address

RT 80 Main St
PO Box 925
Gilbert, WV 25621-0925
Phone (304) 664-3223

Other identifiers 1

IdentifierTypeStateIssuer
0040381000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Community Health Foundation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487612909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 80 MAIN ST",
            "address_2": "PO BOX 925",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "256210925",
            "telephone_number": "304-664-3223",
            "fax_number": "304-664-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 80 MAIN ST",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "256210925",
            "telephone_number": "304-664-3223",
            "fax_number": "304-664-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ROSCOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-583-6541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040381000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.