NPIMap

Organization Active NPI

FMRS Health Systems Inc

  • Community/Behavioral Health Agency
  • Beckley, WV
National Provider Identifier
1881733616
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8 Issued in WV
Legal business name
FMRS HEALTH SYSTEMS INC
Practice address
101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone
(304) 256-7100
Fax
(304) 256-7160
NPI assigned
Feb 6, 2007
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mary M Redman
Title
Chief Financial Officer
Phone
(304) 256-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8 WV
Community/Behavioral Health Agency 251S00000X 8 WV Primary

Addresses

Primary practice location

101 S Eisenhower Dr
Beckley, WV 25801-4929

Mailing address

101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone (304) 256-7100

Other identifiers 8

IdentifierTypeStateIssuer
0005445000MedicaidWV
001709451OtherWVBCBS PAY TO ID
0005445002MedicaidWV
3810003487MedicaidWV
001802529OtherWVBCBS PAY TO ID
0005445001MedicaidWV
001709450OtherWVBCBS PAY TO ID
0134961OtherUMWA

Other names 1

  • FMRS Mental Health Council Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001727 WV Part B Supplier - Clinic/Group Practice 6406747914 Receives reassigned benefits from 12 practitioners
Practice locations: Beckley, WV; Fayetteville, WV; Hinton, WV; Union, WV

National Provider Directory

National Provider Directory

Locations

209 W Maple Ave
Fayetteville, WV 25840
Phone (304) 574-2100

201 Madison St
Hinton, WV 25951
Phone (304) 466-3899

55 Middle St
Union, WV 24983
Phone (304) 772-5452

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1881733616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014929",
            "telephone_number": "304-256-7100",
            "fax_number": "304-256-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014929",
            "telephone_number": "304-256-7100",
            "fax_number": "304-256-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMRS HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-256-7100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "8",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005445000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAY TO ID",
            "identifier": "001709451",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005445002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003487",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAY TO ID",
            "identifier": "001802529",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005445001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAY TO ID",
            "identifier": "001709450",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0134961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMRS Mental Health Council Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.