Active NPI
Louis a Johnson VA Medical Center
- Military Hospital
- Clarksburg, WV
National Provider Identifier
1679745475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 30571
- Legal business name
- LOUIS A JOHNSON VA MEDICAL CENTER
- Practice address
- 1 Medical Center Dr.
Clarksburg, WV 26301 - Phone
- (304) 623-3461
- NPI assigned
- Apr 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Cox
- Title
- Director
- Phone
- (304) 623-3461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 30571 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr.
Clarksburg, WV 26301
Mailing address
1 Medical Center Dr.
Clarksburg, WV 26301
Phone (304) 623-3461
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1679745475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR.",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-623-3461",
"fax_number": "304-623-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR.",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-623-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS A JOHNSON VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "304-623-3461",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "WV",
"license": "30571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.