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

Last updated

Mar 15, 2012By 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

Brent WaltersNPI 1376801670

Title

Head Athletic Trainer

Phone

(304) 462-6223

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Walters, ATC

  • Athletic Trainer
  • Glenville, WV
  • NPI 1376801670
  Authorized official Same address or phone

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

{
    "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)
• Gilmer County Health Department
• Glenville Family Dentistry PLLC
• Glenville SNF Operations LLC (Glenville Health & Rehabilitation)
• Glenville State College (Glenville Sports Medicine)
• Robin Goodrich
• Macy Nichole Gregory, PHARMD
• Corrie Elizabeth Grogg, WHNP-BC, FNP-C
• Aimee G Hartshorn, PHARM D
• Healing Hands Chiropractic, PLLC

• Student Health Clinic/Center in Glenville, WV
• Providers in Glenville, WV by specialty
• 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.