Medicare Health Insurance

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

22926710 Issued in PA

Legal business name

MEDICARE HEALTH INSURANCE

Practice address

20 5TH St
Claysville, PA 15323-1272

Phone

(724) 663-4251

NPI assigned

Sep 21, 2007

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Mr. Chester Willis Shaffer II, HENERY FOLB

Title

Doctor

Phone

(724) 942-6480

Specialties & licenses 1

Addresses

Part of

Medicare Health Insurance

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1942496179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 5TH ST",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231272",
            "telephone_number": "724-663-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 5TH ST",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231272",
            "telephone_number": "724-663-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE HEALTH INSURANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "724-942-6480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "HENERY FOLB"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "22926710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Claysville, PA
• Providers in Claysville, PA by specialty
• Critical Access Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.