Glenville State University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

GLENVILLE STATE UNIVERSITY

Practice address

200 High St
Glenville, WV 26351-1200

Phone

(304) 462-6223

NPI assigned

Mar 15, 2012

Organization subpart

No

Name

Brent Walters

Title

Head Athletic Trainer

Phone

(304) 462-6223

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2012.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1982979548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753819020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511200",
            "telephone_number": "304-462-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVILLE STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "304-462-6223"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilmer County Board of Health
• Gilmer County Health Department
• Glenville Family Dentistry PLLC
• Glenville SNF Operations LLC
• Glenville State College
• Robin Goodrich
• Macy Nichole Gregory, PHARMD
• Corrie Elizabeth Grogg, WHNP-BC, FNP-C
• Aimee G Hartshorn, PHARM D
• Healing Hands Chiropractic, PLLC

• All providers in Glenville, WV
• Student Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.