Organization Active NPI

Martinsburg Institute Inc

  • Methadone Clinic
  • Martinsburg, WV
National Provider Identifier
1629290127
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
MARTINSBURG INSTITUTE INC
Practice address
223 Eagle School Rd
Martinsburg, WV 25404-3367
Phone
(304) 263-1101
Fax
(304) 263-0031
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Neal Berch, BS
Title
Executive Director
Phone
(304) 263-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

223 Eagle School Rd
Martinsburg, WV 25404-3367

Mailing address

223 Eagle School Rd
Martinsburg, WV 25404-3367
Phone (304) 263-1101

Other practice location 1

183 Monroe Street
Martinsburg, WV 25404
Phone (304) 263-1101

Other identifiers 1

IdentifierTypeStateIssuer
CC0559017OtherWVBOARD OF PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Opioid treatment program
Medicare-enrolled since Oct 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201001028 WV Part B Supplier - Opioid Treatment Program (Otp) 0547671273 Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

183 Monroe St
Martinsburg, WV 25404
Phone (304) 263-1101

223 Eagle School Rd
Martinsburg, WV 25404
Phone (304) 263-1101

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1629290127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EAGLE SCHOOL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043367",
            "telephone_number": "304-263-1101",
            "fax_number": "304-263-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 EAGLE SCHOOL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043367",
            "telephone_number": "304-263-1101",
            "fax_number": "304-263-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Monroe Street",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25404",
            "country_code": "US",
            "telephone_number": "304-263-1101",
            "fax_number": "304-263-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTINSBURG INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BERCH",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-263-1101",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "CC0559017",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.