NPIMap

Organization Active NPI

Summersville Regional Medical Center

  • Rural Health Clinic/Center
  • Richwood, WV
National Provider Identifier
1821463654
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
61 Issued in WV
Legal business name
SUMMERSVILLE REGIONAL MEDICAL CENTER
Practice address
74 Avenue B
Richwood, WV 26261-1207
Phone
(304) 883-0220
Fax
(304) 872-8417
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Dan Ayres
Title
Ceo
Phone
(304) 872-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 61 WV Primary

Addresses

Primary practice location

74 Avenue B
Richwood, WV 26261-1207

Mailing address

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone (304) 883-0220

Other names 1

  • Richwood Family Practice Other name

National Provider Directory

National Provider Directory
Tax ID family
Richwood Family Practice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1821463654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-883-0220",
            "fax_number": "304-872-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 AVENUE B",
            "city": "RICHWOOD",
            "state": "WV",
            "postal_code": "262611207",
            "telephone_number": "304-883-0220",
            "fax_number": "304-872-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-872-2891"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": "61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richwood Family Practice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Richwood Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.