Organization Active NPI

Vain 304 Hydration and Wellness

  • Medical Specialty Clinic/Center
  • Hurricane, WV
National Provider Identifier
1629726070
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VAIN 304 HYDRATION AND WELLNESS
Practice address
3554 Teays Valley Rd Ste 114
Hurricane, WV 25526-9169
Phone
(304) 223-5200
Fax
(304) 223-5500
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Rebecca Claxton, FNP-C
Title
Owner
Phone
(304) 552-3203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3554 Teays Valley Rd Ste 114
Hurricane, WV 25526-9169

Mailing address

3554 Teays Valley Rd Ste 114
Hurricane, WV 25526-9169
Phone (304) 223-5200

National Provider Directory

National Provider Directory

Locations

3554 Teays Valley Rd
Ste 114
Hurricane, WV 25526
Phone (304) 223-5200

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1629726070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 TEAYS VALLEY RD STE 114",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269169",
            "telephone_number": "304-223-5200",
            "fax_number": "304-223-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 TEAYS VALLEY RD STE 114",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269169",
            "telephone_number": "304-223-5200",
            "fax_number": "304-223-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIN 304 HYDRATION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "CLAXTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-552-3203",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.