Organization Active NPI

Louis a. Johnson Vamc

  • General Acute Care Hospital
  • Clarksburg, WV
National Provider Identifier
1740200757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
932 Issued in WV
Legal business name
LOUIS A. JOHNSON VAMC
Practice address
#1 Medical Center Drive
Clarksburg, WV 26301
Phone
(304) 623-3461
Fax
(304) 623-7666
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheyla Anne Hulley, PHYSICIAN ASSISTANT
Title
Pac-Certified
Phone
(304) 623-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 932 WV Primary

Addresses

Primary practice location

#1 Medical Center Drive
Clarksburg, WV 26301

Mailing address

PO Box 232
Grafton, WV 26354-0232
Phone (304) 265-1132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740200757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263540232",
            "telephone_number": "304-265-1132",
            "fax_number": "304-623-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 MEDICAL CENTER DRIVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-623-3461",
            "fax_number": "304-623-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS A. JOHNSON VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULLEY",
        "authorized_official_first_name": "CHEYLA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PAC-CERTIFIED",
        "authorized_official_telephone_number": "304-623-3461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "932",
            "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 Aug 22, 2020; 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.