Active NPI
Hope Medical Center Lab Craigsville
- Clinical Medical Laboratory
- Craigsville, WV
National Provider Identifier
1700058054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HOPE MEDICAL CENTER LAB CRAIGSVILLE
- Practice address
- 46 Red Oak Dr
Craigsville, WV 26205-3102 - Phone
- (304) 742-5737
- Fax
- (304) 742-5738
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- Organization subpart
- Yes
- Parent organization
- HOPE MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Hardway, M.D.
- Title
- President
- Phone
- (304) 742-5737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WV | Primary |
Addresses
Primary practice location
46 Red Oak Dr
Craigsville, WV 26205-3102
Mailing address
PO Box 946
Craigsville, WV 26205-0946
Phone (304) 742-5737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003446 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Hope Medical Center Inc
- Part of
- Hope Medical Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Cowen, WV
- NPI 1982875845
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Craigsville, WV
- NPI 1003824640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1700058054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 946",
"city": "CRAIGSVILLE",
"state": "WV",
"postal_code": "262050946",
"telephone_number": "304-742-5737",
"fax_number": "304-742-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 RED OAK DR",
"city": "CRAIGSVILLE",
"state": "WV",
"postal_code": "262053102",
"telephone_number": "304-742-5737",
"fax_number": "304-742-5738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL CENTER LAB CRAIGSVILLE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOPE MEDICAL CENTER",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "HARDWAY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-742-5737",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003446",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Craigsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.