NPIMap

Organization Active NPI

Highland-Clarksburg Hospital

  • Substance Abuse Rehabilitation Facility
  • Clarksburg, WV
National Provider Identifier
1861973547
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HIGHLAND-CLARKSBURG HOSPITAL
Practice address
3 Hospital PLZ
Clarksburg, WV 26301-9316
Phone
(304) 969-3100
NPI assigned
Aug 22, 2018
Organization subpart
Yes
Parent organization
HIGHLAND-CLARKSBURG HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Nancy Michelle Giaquinto
Title
Cfo
Phone
(304) 969-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X WV Primary

Addresses

Primary practice location

3 Hospital PLZ
Clarksburg, WV 26301-9316

Mailing address

3 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 969-3100

Other identifiers 2

IdentifierTypeStateIssuer
1710317276MedicaidWV
1477990109MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Highland-Clarksburg Hospital4 organizations share this tax ID, including this one
Part of
Highland-Clarksburg Hospital

Other organizations with this tax ID 3

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1861973547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-969-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019316",
            "telephone_number": "304-969-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND-CLARKSBURG HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND-CLARKSBURG HOSPITAL",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "GIAQUINTO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-969-3100"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710317276",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477990109",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.