St George Medical Clinic Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ST GEORGE MEDICAL CLINIC INC

Practice address

81 Tucker Valley School Rd
Hambleton, WV 26269-8052

Phone

(304) 478-3339

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul H Wamsley Jr.

Title

Executive Director

Phone

(304) 478-3339

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St George Medical Clini3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• St George Medical Clinic Inc

  • Pharmacy
  • Davis, WV
  • NPI 1326796822
  NPD tax ID
• St George Medical Clinic Inc

  • Pharmacy
  • Parsons, WV
  • NPI 1447841002
  NPD tax ID

Locations

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1891176137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 HOLLY MEADOWS RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878055",
            "telephone_number": "304-478-3339",
            "fax_number": "304-478-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 TUCKER VALLEY SCHOOL RD",
            "city": "HAMBLETON",
            "state": "WV",
            "postal_code": "262698052",
            "telephone_number": "304-478-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "WAMSLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-478-3339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOW",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schmitt Family Medicine PLLC
• Susan Ann Schmitt, MD
• Michelle Sharp
• Elvira Elaine Shreve
• Andrea Kae Simmons, LCSW
• Deanna Eloise Summerfield

• Federally Qualified Health Center (FQHC) in Hambleton, WV
• Providers in Hambleton, WV by specialty
• Federally Qualified Health Center (FQHC) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.