NPIMap

Organization Active NPI

Highland Hospital Association

  • Psychiatric Hospital
  • Charleston, WV
National Provider Identifier
1497706659
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
151 Issued in WV
Legal business name
HIGHLAND HOSPITAL ASSOCIATION
Practice address
300 56TH St SE
Charleston, WV 25304-2308
Phone
(304) 926-1600
Fax
(304) 926-1649
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Mr. James H. Dissen
Title
Ceo/President
Phone
(304) 348-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 151 WV Primary

Addresses

Primary practice location

300 56TH St SE
Charleston, WV 25304-2308

Mailing address

300 56TH St SE
Charleston, WV 25304-2308
Phone (304) 926-1600

Other identifiers 1

IdentifierTypeStateIssuer
0001254001MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1497706659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042308",
            "telephone_number": "304-926-1600",
            "fax_number": "304-926-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042308",
            "telephone_number": "304-926-1600",
            "fax_number": "304-926-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "DISSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "304-348-1401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WV",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001254001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.