Active NPI
Princeton Community Hospital Assn., Inc
- Rural Health Clinic/Center
- Bluefield, WV
National Provider Identifier
1972810125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PRINCETON COMMUNITY HOSPITAL ASSN., INC
- Practice address
- 154 Majestic Place
Bluefield, WV 24701 - Phone
- (304) 589-4377
- Fax
- (304) 589-4389
- NPI assigned
- Sep 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Lynn Spencer
- Title
- VP of Finance
- Phone
- (304) 487-7505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | WV | ||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
154 Majestic Place
Bluefield, WV 24701
Mailing address
PO Box 1369
Princeton, WV 24740-1369
Phone (304) 487-7451
Other names 1
- Bluewell Family Clinic
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1972810125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1369",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247401369",
"telephone_number": "304-487-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 MAJESTIC PLACE",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "24701",
"telephone_number": "304-589-4377",
"fax_number": "304-589-4389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON COMMUNITY HOSPITAL ASSN., INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-09",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "304-487-7505"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bluewell Family Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bluewell Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.