PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED (NPI# 1154439859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154439859 |
| Entity Type | Organization |
| Organization Name | PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Other Organization Name | NEWBURG CLINIC |
| Practice Address |
2060 N. Mountaineer Hwy Newburg WV 26410-0159 |
| Mailing Address |
Po Box 35 Newburg WV 26410-0035 |
| Practice Telephone | 3048922812 |
| Practice Fax Number | 3048922814 |
| Mailing Telephone | 3048922828 |
| Mailing Fax Number | 3048922927 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | LINDA M SHRIVER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3042650312 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0035308000 | 05 |
| Other Name | Type Code |
|---|---|
| Newburg Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257889 | Preston Taylor Community Health Centers, Incorporated | Pharmacy | 725 N Pike St, Grafton, WV 26354-1270 | 2019-04-16 |
| 1699845420 | Preston Taylor Community Health Centers, Incorporated | Family Medicine | 725 North Pike Street, Grafton, WV 26354-1270 | 2006-11-09 |
| 1538277231 | Preston Taylor Community Health Centers, Incorporated | Clinic/Center | 2604 Grange Hall Road, Eglon, WV 26716-0008 | 2006-08-25 |
| 1245348945 | Preston Taylor Community Health Centers, Incorporated | Clinic/Center | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2006-08-25 |
| 1992813604 | Preston Taylor Community Health Centers, Incorporated | Clinic/Center | 725 North Pike Street, Grafton, WV 26354-1270 | 2006-08-25 |
| 1700819471 | Preston Taylor Community Health Centers, Incorporated | Clinic/Center | 14311 George Washington Highway, Mt. Storm, WV 26739-0077 | 2006-07-08 |
| Street Address |
2060 N. MOUNTAINEER HWY |
| City | NEWBURG |
| State | WV |
| Zip Code | 26410-0159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631429 | Jackie Lynn Taylor | Technician | 41 Faternity Street, Newburg, WV 26410 | 2020-08-26 |
| 1972114106 | Paula Louise Ridenour | Technician | 145 Herrington Ave, Newburg, WV 26410-8907 | 2020-08-12 |
| 1912518192 | Maegan Wilson | Technician | 8827 N Mountaineer Hwy, Newburg, WV 26410-9043 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631429 | Jackie Lynn Taylor | Technician | 41 Faternity Street, Newburg, WV 26410 | 2020-08-26 |
| 1972114106 | Paula Louise Ridenour | Technician | 145 Herrington Ave, Newburg, WV 26410-8907 | 2020-08-12 |
| 1912518192 | Maegan Wilson | Technician | 8827 N Mountaineer Hwy, Newburg, WV 26410-9043 | 2020-08-12 |
| 1598396491 | Susan Dunphy | Physician Assistant | 13805 West Hatton Place, Newburg, MD 20664 | 2020-01-29 |
| 1780235606 | Nancy Fenton | Technician | 12195 Potomac View Rd, Newburg, MD 20664-6301 | 2019-09-23 |
| 1255806303 | Laura Shelden | Counselor | 17010 Private Drive 8169, Newburg, MO 65550-9353 | 2018-10-04 |
| 1982130118 | South Central Missouri Community Health Center | Family Medicine | 701 Wolfpride Dr, Newburg, MO 65550-7824 | 2017-05-09 |
| 1114478732 | Tia M. Deloatch | Social Worker | 12170 Potomac View Dr, Newburg, MD 20664-2256 | 2016-10-19 |
| 1679931265 | Tyna Boccarossa | Massage Therapist | 12412 Channelview Dr, Newburg, MD 20664-2212 | 2016-02-10 |
| 1518324797 | Violet Stephens | Midwife | 18156 County Road 7270, Newburg, MO 65550-8935 | 2016-01-19 |
| Find all providers in NEWBURG | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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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.