NPIMap

Organization Active NPI

Proctorville Health Care, LLC

  • Clinic/Center
  • Proctorville, OH
National Provider Identifier
1659464790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROCTORVILLE HEALTH CARE, LLC
Practice address
501 State St
Proctorville, OH 45669-3015
Phone
(740) 886-2674
Fax
(740) 886-2676
NPI assigned
Oct 2, 2006
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
Anita Kayvon Wippel, FNP-C
Title
Owner
Phone
(740) 886-2674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501 State St
Proctorville, OH 45669-3015

Mailing address

501 State St
Proctorville, OH 45669-3015
Phone (740) 886-2674

National Provider Directory

National Provider Directory
Tax ID family
Proctorville Health Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659464790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STATE ST",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456693015",
            "telephone_number": "740-886-2674",
            "fax_number": "740-886-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ST",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456693015",
            "telephone_number": "740-886-2674",
            "fax_number": "740-886-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTORVILLE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIPPEL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "KAYVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-886-2674",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Proctorville, OH

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.