Active NPI
Louis a. Johnson Vamc
- General Acute Care Hospital
- Clarksburg, WV
National Provider Identifier
1740200757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 932
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.