NPIMap

Organization Active NPI

St of WV Div of Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Institute, WV
National Provider Identifier
1619951977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
NA GOV'T OWNED Issued in WV
Legal business name
ST OF WV DIV OF REHABILITATION SERVICES
Practice address
Barron Drive
Institute, WV 25112-1004
Phone
(304) 766-4848
Fax
(304) 766-4937
NPI assigned
Nov 30, 2005
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
Mr. Laine Wilder
Title
Assistant Director, Center Administ
Phone
(304) 766-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NA GOV'T OWNED WV Primary

Addresses

Primary practice location

Barron Drive
Institute, WV 25112-1004

Mailing address

PO Box 1004
Institute, WV 25112-1004
Phone (304) 766-4848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619951977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4848",
            "fax_number": "304-766-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRON DRIVE",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4848",
            "fax_number": "304-766-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST OF WV DIV OF REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "LAINE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR, CENTER ADMINIST",
        "authorized_official_telephone_number": "304-766-4767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WV",
            "license": "NA GOV'T OWNED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Institute, 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.