Alum Creek Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1203 Issued in WV

Legal business name

ALUM CREEK MEDICAL CENTER, INC.

Practice address

2150 Childress Road
Alum Creek, WV 25003

Phone

(304) 756-9001

Fax

(304) 756-2081

NPI assigned

Oct 2, 2006

Last updated

Feb 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Franklin Smith, D.O.NPI 1609906726

Title

President

Phone

(304) 756-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Alum Creek Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alum Creek Medical Center, Inc.

  • Clinical Medical Laboratory
  • Alum Creek, WV
  • NPI 1396920138
  NPD tax ID

Locations

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.

• Scott Franklin Smith, D.O.

  • Family Medicine Physician
  • Alum Creek, WV
  • NPI 1609906726
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1831283381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CHILDRESS ROAD",
            "address_2": "PO BOX 40",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250032150",
            "telephone_number": "304-756-9001",
            "fax_number": "304-756-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CHILDRESS ROAD",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "25003",
            "telephone_number": "304-756-9001",
            "fax_number": "304-756-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALUM CREEK MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-756-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710389",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042109000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevaeh Adkins
• Kinsley Marie Allen
• Alum Creek Medical Center, Inc.
• Alum Creek Pharmacy,Inc (Alum Creek Pharmacy)
• Kandi Barnard
• Isaac Barnhouse
• Kailani Baruth
• Jim Beach Jr.

• Family Medicine Physician in Alum Creek, WV
• Providers in Alum Creek, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.