Westmoreland Family Care Center, Inc

Organization Active NPI Family Medicine Physician · Mason, WV

NPI 1497965461 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1497965461
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
1070 (WV)
Legal business name
WESTMORELAND FAMILY CARE CENTER, INC
Practice address
16 2ND St
Mason, WV 25260-9677
Phone
(304) 773-5333
Fax
(304) 773-5885
NPI assigned
May 22, 2007
Organization subpart
No

Authorized official

Name
Dr. Danny Ray Westmoreland, DO NPI 1073654075
Title
President
Phone
(304) 773-5333

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0673845Westmoreland Family Care Center
16 2ND Street, Mason, WV 25260
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090609000101 WV Part B Supplier - Clinic/Group Practice 7618027939 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, WV

National Provider Directory

Locations

16 2nd St
Mason, WV 25260
Phone (304) 773-5333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 1070 WV Yes

Addresses

Primary practice location

16 2ND St
Mason, WV 25260-9677

Mailing address

16 2ND St
Mason, WV 25260-9677
Phone (304) 773-5333

Other identifiers

IdentifierTypeStateIssuer
0639572MedicaidOH
0040703000MedicaidWV

Other providers in Mason, WV

All providers in Mason, WV · Family Medicine Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.