NPIMap

Organization Active NPI

Eastern Panhandle Mental Health Center (Group)

Doing business as EastRidge Health Systems

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1528488012
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1022-6441 Issued in WV
Legal business name
EASTERN PANHANDLE MENTAL HEALTH CENTER (GROUP)
Doing business as
EastRidge Health Systems
Practice address
235 S Water St
Martinsburg, WV 25401-4241
Phone
(304) 263-8954
Fax
(304) 264-0763
NPI assigned
Apr 23, 2014
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Rita Quinn
Title
Ceo/President
Phone
(304) 263-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1022-6441 WV Primary

Addresses

Primary practice location

235 S Water St
Martinsburg, WV 25401-4241

Mailing address

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

Other identifiers 5

IdentifierTypeStateIssuer
3810012620MedicaidWV
0023817000MedicaidWV
3810022967MedicaidWV
0023817001MedicaidWV
0023817002MedicaidWV

Other names 1

  • EastRidge Health Systems Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastridge Health Systems10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

89 Sugar Hollow Rd
Berkeley Springs, WV 25411
Phone (304) 258-2889

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1528488012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PANHANDLE MENTAL HEALTH CENTER (GROUP)",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "304-263-8954"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "1022-6441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012620",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023817000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022967",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023817001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023817002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastRidge Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.