NPIMap

Organization Active NPI

Preston-Taylor Community Health Centers Incorporated

  • Dental Clinic/Center
  • Grafton, WV
National Provider Identifier
1841308541
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
Practice address
711 N Pike St
Grafton, WV 26354
Phone
(304) 265-4600
Fax
(304) 265-6008
NPI assigned
Aug 25, 2006
Organization subpart
Yes
Parent organization
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Linda M Shriver
Title
Chief Executive Officer
Phone
(304) 265-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

711 N Pike St
Grafton, WV 26354

Mailing address

PO Box 399
725 N Pike St
Grafton, WV 26354
Phone (304) 265-0312

Other identifiers 1

IdentifierTypeStateIssuer
0035347002MedicaidWV

Other names 1

  • Dental Center of Taylor County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Eye Care15 organizations share this tax ID, including this one
Part of
Community Eye Care

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1841308541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "address_2": "725 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-0312",
            "fax_number": "304-265-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-4600",
            "fax_number": "304-265-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-265-0312"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035347002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Center of Taylor County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grafton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.