NPIMap

Organization Active NPI

Rainelle Medical Center Inc

Doing business as Meadow Bridge Clinic PAAS FQHC

  • Multi-Specialty Clinic/Center
  • Meadow Bridge, WV
National Provider Identifier
1932293941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
045967 Issued in NU
Legal business name
RAINELLE MEDICAL CENTER INC
Doing business as
Meadow Bridge Clinic PAAS FQHC
Practice address
1502 Meadow Bridge Road
Meadow Bridge, WV 25976
Phone
(304) 484-7755
Fax
(304) 484-6205
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Floyd N Price
Title
Ceo
Phone
(304) 438-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 045967 NU Primary

Addresses

Primary practice location

1502 Meadow Bridge Road
Meadow Bridge, WV 25976

Mailing address

PO Box 120
Meadow Bridge, WV 25976
Phone (304) 484-7755

Other identifiers 1

IdentifierTypeStateIssuer
0035241003MedicaidWV

Other names 1

  • Meadow Bridge Clinic PAAS FQHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainelle Med Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932293941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "25976",
            "telephone_number": "304-484-7755",
            "fax_number": "304-484-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MEADOW BRIDGE ROAD",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "25976",
            "telephone_number": "304-484-7755",
            "fax_number": "304-484-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINELLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-438-6188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": "045967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035241003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Bridge Clinic PAAS FQHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadow Bridge, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.