Miners City Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MINERS CITY CLINIC

Practice address

14197 Rocket Boys Drive
N/a
War, WV 24892

Phone

(304) 888-4998

NPI assigned

Mar 9, 2021

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Beach, APRNNPI 1841699139

Title

Provider

Phone

(304) 875-4005

Specialties & licenses 1

Addresses

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.

• Brenda Beach, APRN

  • Nurse Practitioner
  • War, WV
  • NPI 1841699139
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1659956894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931",
            "city": "WAR",
            "state": "WV",
            "postal_code": "248920931",
            "telephone_number": "304-888-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14197 ROCKET BOYS DRIVE",
            "address_2": "N/A",
            "city": "WAR",
            "state": "WV",
            "postal_code": "24892",
            "telephone_number": "304-888-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERS CITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "304-875-4005",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Holt
• Mario Lucero, MD
• Sergio Capuno Macatangay, MD
• Mahesh B. Patel (Yukon Medical Clinic)
• McDowell Pharmacy Inc
• Leslie Lynn Poe, FNP
• Jennifer Rathbone
• Sabrina Marie Ray, PHARM D.
• Right Way Drug Inc. (Right Way Drug War)
• Whitney Renee Smith, PHARM.D.

• Primary Care Clinic/Center in War, WV
• Providers in War, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.