NPIMap

Organization Active NPI

Tri County Health Clinic Inc

  • Community/Retail Pharmacy
  • Rock Cave, WV
National Provider Identifier
1861577090
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552311 Issued in WV
Legal business name
TRI COUNTY HEALTH CLINIC INC
Practice address
123 Queens Ally Road
Rock Cave, WV 26234
Phone
(304) 924-6784
Fax
(304) 924-6891
NPI assigned
Oct 26, 2006
Last updated
Apr 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Connie Johnston
Title
Cfo
Phone
(304) 924-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552311 WV Primary

Addresses

Primary practice location

123 Queens Ally Road
Rock Cave, WV 26234

Mailing address

PO Box 217
Rock Cave, WV 26234-0217
Phone (304) 924-6784

Other identifiers 1

IdentifierTypeStateIssuer
2111511OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Tri County Health Clinic Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1861577090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "ROCK CAVE",
            "state": "WV",
            "postal_code": "262340217",
            "telephone_number": "304-924-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 QUEENS ALLY ROAD",
            "city": "ROCK CAVE",
            "state": "WV",
            "postal_code": "26234",
            "telephone_number": "304-924-6784",
            "fax_number": "304-924-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-924-6262"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Cave, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.