The Martinsburg Work Center II
Organization Active NPI Preferred Provider Organization · Martinsburg, WV
NPI 1730347402 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1730347402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- UD000018511001 (WV)
- Legal business name
- THE MARTINSBURG WORK CENTER II
- Practice address
- 24 Integrity Ter
Martinsburg, WV 25405-3524 - Phone
- (304) 262-9600
- Fax
- (304) 262-6900
- NPI assigned
- May 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Bryan Witchey
- Title
- Director
- Phone
- (304) 262-9600
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Martinsburg Work Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | UD000018511001 | WV | Yes |
Addresses
Primary practice location
24 Integrity Ter
Martinsburg, WV 25405-3524
Mailing address
PO Box 1265
Martinsburg, WV 25402-1265
Phone (304) 262-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004863 | Medicaid | WV |
Other providers in Martinsburg, WV
- Elizabeth Thacker
- Nilay Bhasker Thaker
- Thane S. Farmer, DDS
- The Feelings Nest PLLC
- The Giant Company, LLC
- Thera-Pharm Solutions LLC
- Thomas J. Meals DMD,PLLC
- Alexander Thomas
- Amber Lee Thomas
- Carol Marie Thomas
All providers in Martinsburg, WV · Preferred Provider Organization in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.