Active NPI
Oak Hill Clinic Corp
- Clinical Medical Laboratory
- Oak Hill, WV
National Provider Identifier
1992987192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OAK HILL CLINIC CORP
- Practice address
- 320 Jones Ave
Oak Hill, WV 25901-2909 - Phone
- (304) 469-2500
- NPI assigned
- Nov 29, 2007
- Organization subpart
- Yes
- Parent organization
- OAK HILL CLINIC CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brewer
- Title
- Director of Provider Enrollment
- Phone
- (615) 465-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
320 Jones Ave
Oak Hill, WV 25901-2909
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6703099000 | Medicaid | WV |
Other names 1
- Plateau Cardio Pulmonary Associates Lab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1021167 | Vandalia Health Internal Medicine - Oak Hill | Certificate of waiver | Jan 13, 2028 |
National Provider Directory
National Provider Directory- Part of
- Oak Hill Clinic Corp
Locations
320 Jones Ave
Oak Hill, WV 25901
Phone (304) 469-2500
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Oak Hill, WV
- NPI 1336148931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1992987192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 COMMERCE WAY",
"address_2": "SUITE 180",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272829",
"telephone_number": "615-465-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 JONES AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012909",
"telephone_number": "304-469-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK HILL CLINIC CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OAK HILL CLINIC CORP",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "615-465-7626"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6703099000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plateau Cardio Pulmonary Associates Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.