Organization Active NPI

Oak Hill Clinic Corp

  • Clinical Medical Laboratory
  • Oak Hill, WV
National Provider Identifier
1992987192
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6703099000MedicaidWV

Other names 1

  • Plateau Cardio Pulmonary Associates Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1021167Vandalia Health Internal Medicine - Oak Hill320 Jones Avenue, Oak Hill, WV 25901Certificate of waiverJan 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.

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.

Verify at the official NPI Registry.