NPIMap

Organization Active NPI

Richwood Area Community Hospitl

  • Family Medicine Physician
  • Richwood, WV
National Provider Identifier
1528132339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
128 Issued in WV
Legal business name
RICHWOOD AREA COMMUNITY HOSPITL
Practice address
75 Avenue B
Richwood, WV 26261-1236
Phone
(304) 846-2573
Fax
(304) 846-9562
NPI assigned
Nov 20, 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
Annette M Keenan
Title
Ceo
Phone
(304) 846-2573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 128 WV Primary

Addresses

Primary practice location

75 Avenue B
Richwood, WV 26261-1236

Mailing address

75 Avenue B
Richwood, WV 26261-1236
Phone (304) 846-2573

National Provider Directory

National Provider Directory
Tax ID family
Richwood Area Community Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528132339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AVENUE B",
            "city": "RICHWOOD",
            "state": "WV",
            "postal_code": "262611236",
            "telephone_number": "304-846-2573",
            "fax_number": "304-846-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AVENUE B",
            "city": "RICHWOOD",
            "state": "WV",
            "postal_code": "262611236",
            "telephone_number": "304-846-2573",
            "fax_number": "304-846-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHWOOD AREA COMMUNITY HOSPITL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-846-2573"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richwood, 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.