RAINELLE MEDICAL CENTER, INC. (NPI# 1093199036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093199036 |
| Entity Type | Organization |
| Organization Name | RAINELLE MEDICAL CENTER, INC. |
| Other Organization Name | RAINELLE MEDICAL/DENTAL CENTER |
| Practice Address |
176 Medical Center Dr Rainelle WV 25962-1064 |
| Practice Telephone | 3044386188 |
| Practice Fax Number | 3044386819 |
| Mailing Telephone | 3044386188 |
| Mailing Fax Number | 3044386819 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | DEBRA J BENNETT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3044386188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RAINELLE MEDICAL/DENTAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815268 | Rainelle Medical Center, Inc. | Clinic/Center | Po Box 89, Hico, WV 25854-0089 | 2017-11-22 |
| 1336661834 | Rainelle Medical Center, Inc. | Pharmacy | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-07-17 |
| 1528410065 | Rainelle Medical Center, Inc. | Clinic/Center | 539 Parklin Drive, Covington, VA 24426 | 2016-07-08 |
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| 1740589746 | Rainelle Medical Center, Inc. | Clinic/Center | 101 Railroad Avenue, Alderson, WV 24910-0740 | 2011-03-17 |
| 1821554486 | Rainelle Medical Center, Inc. | Clinic/Center | 7576 Seneca Trail, Hillsboro, WV 24946 | 2019-02-19 |
| 1497244412 | Rainelle Medical Center, Inc. | Clinic/Center | 296 Fair St, Lewisburg, WV 24901-2632 | 2018-05-04 |
| 1093165722 | Rainelle Medical Center, Inc. | Clinic/Center | 128 Community Ln, White Sulphur Springs, WV 24986-1105 | 2016-06-14 |
| 1235238122 | Rainelle Medical Center, Inc. | Pharmacy | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-09-21 |
| 1528050655 | Rainelle Medical Center, Inc. | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-16 |
| Street Address |
176 MEDICAL CENTER DR |
| City | RAINELLE |
| State | WV |
| Zip Code | 25962-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968031 | Robert Eugene Olexo | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-09 |
| 1003417023 | Kenneth Earl Gwinn Jr. | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-11-05 |
| 1205457397 | Sarah A Ward | Registered Nurse | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-04-30 |
| 1184254930 | Carrie E Jarrell | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-01-21 |
| 1487298584 | Rhonda Lea Witt | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-10-31 |
| 1093368201 | Brittany Nicole Parker | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-07-17 |
| 1598322349 | Samantha Lynn Byrd | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-05-28 |
| 1295398402 | Sherri Sue Faulkiner | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-04-15 |
| 1396204251 | Jennifer Lynn Ratliff | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-03-19 |
| 1316454549 | Destiny Stout | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622168 | Hannah Dawn Hellems | Nurse Practitioner | 658 Main St Ste A, Rainelle, WV 25962 | 2018-06-14 |
| 1528572070 | Sandra Arretha Swartz | Technician | 164 Fayette Avenue, Rainelle, WV 25962 | 2017-11-20 |
| 1912256959 | Jessica Belcher | Pharmacist | 518 Park Center, Rainelle, WV 25962 | 2012-09-06 |
| 1215946009 | Vicki Bowers Kerwin | Nurse Practitioner | 1401 Earl Core Road, Suite D, Morgantown, WV 25962 | 2006-08-08 |
| 1538331053 | Western Greenbrier Internal Medicine Pllc | Internal Medicine | 512 Main Street, Rainelle, WV 25962 | 2008-03-25 |
| 1235741497 | Teresa Louise Young | Technician | 227 Cherry St, Rainelle, WV 25962-1003 | 2020-08-19 |
| 1730626052 | Kaleb Ellison | Student in an Organized Health Care Education/Training Program | 227 Cherry St, Rainelle, WV 25962-1003 | 2017-01-24 |
| 1073125209 | Bridgett J Clark | Technician | 180 Chestnut St, Rainelle, WV 25962-1006 | 2020-08-19 |
| 1730172297 | Pamela S Butcher | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2005-08-30 |
| 1942681390 | Heather Gail Heaster | Dentist | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2015-06-11 |
| Find all providers in zip 25962 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098234 | Rainelle Medical Center, Inc | Clinic/Center | 286 Main St, Rainelle, WV 25962-1133 | 2020-03-13 |
| 1437227766 | Rainelle Medical Center Inc | Clinic/Center | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.