NPIMap

Organization Active NPI

United Summit Center Inc- Rehab

  • Community/Behavioral Health Agency
  • Clarksburg, WV
National Provider Identifier
1689886558
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20 Issued in WV
Legal business name
UNITED SUMMIT CENTER INC- REHAB
Practice address
6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone
(304) 623-5661
Fax
(304) 623-2180
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Lisa Price
Title
Authorized Official
Phone
(304) 623-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20 WV Primary

Addresses

Primary practice location

6 Hospital PLZ
Clarksburg, WV 26301-9316

Mailing address

6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 623-5661

Other identifiers 1

IdentifierTypeStateIssuer
0005239002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
United Summit Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1689886558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-623-5661",
            "fax_number": "304-623-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-623-5661",
            "fax_number": "304-623-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUMMIT CENTER INC- REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "304-623-5661"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005239002",
            "state": "WV"
        }
    ],
    "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 30, 2018; 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.