NPIMap

Organization Active NPI

Preston Healthcare Services LLC

  • Ambulatory Family Planning Facility
  • Kingwood, WV
National Provider Identifier
1609299908
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
2232-1458 Issued in WV
Legal business name
PRESTON HEALTHCARE SERVICES LLC
Practice address
1343 N Preston Hwy
Kingwood, WV 26537-7633
Phone
(304) 441-2001
Fax
(304) 441-2009
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Robert Goodwin Jr.
Title
Owner
Phone
(304) 441-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 2232-1458 WV Primary

Addresses

Primary practice location

1343 N Preston Hwy
Kingwood, WV 26537-7633

Mailing address

1343 N Preston Hwy
Kingwood, WV 26537-7633
Phone (304) 441-2001

Other identifiers 1

IdentifierTypeStateIssuer
3810018394OtherWVWEST VIRGINIA MEDICAID FAMILY PLANNING

National Provider Directory

National Provider Directory
Tax ID family
Preston Healthcare Services LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1609299908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377633",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377633",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-441-2001",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "WV",
            "license": "2232-1458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID FAMILY PLANNING",
            "identifier": "3810018394",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.