Organization Active NPI

Core Health Care

  • Internal Medicine Physician
  • Maidsville, WV
National Provider Identifier
1629214200
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12054 Issued in WV
Legal business name
CORE HEALTH CARE
Practice address
1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Phone
(304) 879-5025
Fax
(304) 879-4105
NPI assigned
Jan 2, 2009
Last updated
Jan 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Mrs. Trudy G Harvey
Title
Practice Manager
Phone
(304) 879-5025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 43007 WV
Internal Medicine Physician 207R00000X 12054 WV Primary

Addresses

Primary practice location

1929 Mason Dixon Hwy
Maidsville, WV 26541-8152

Mailing address

1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Phone (304) 879-5025

Other names 1

  • Core Health Care, PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1629214200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 MASON DIXON HWY",
            "city": "MAIDSVILLE",
            "state": "WV",
            "postal_code": "265418152",
            "telephone_number": "304-879-5025",
            "fax_number": "304-879-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MASON DIXON HWY",
            "city": "MAIDSVILLE",
            "state": "WV",
            "postal_code": "265418152",
            "telephone_number": "304-879-5025",
            "fax_number": "304-879-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-879-5025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "43007",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Health Care, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maidsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.