NPIMap

Organization Active NPI

Progressivehealth Healthspot, LLC

Doing business as City of South Charleston Employee Health Clinic

  • Primary Care Clinic/Center
  • South Charleston, WV
National Provider Identifier
1841970241
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROGRESSIVEHEALTH HEALTHSPOT, LLC
Doing business as
City of South Charleston Employee Health Clinic
Practice address
18 River Walk Mall
South Charleston, WV 25303-1026
Phone
(615) 830-4081
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization
PROGRESSIVEHEALTH HEALTHSPOT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Mr. Kevin Rainbolt, MBA, EMT-P (R)
Title
Vice President
Phone
(615) 830-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18 River Walk Mall
South Charleston, WV 25303-1026

Mailing address

150 N Rosenberger Ave
Evansville, IN 47712-6503

Other names 1

  • City of South Charleston Employee Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressivehealth Healthspot6 organizations share this tax ID, including this one
Part of
Progressivehealth Healthspot

Other organizations with this tax ID 5

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

Locations

18 River Walk Mall
South Charleston, WV 25303
Phone (304) 720-7317

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1841970241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROSENBERGER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVER WALK MALL",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031026",
            "telephone_number": "615-830-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVEHEALTH HEALTHSPOT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVEHEALTH HEALTHSPOT, LLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "RAINBOLT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-830-4081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, EMT-P (R)"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of South Charleston Employee Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.