PENDLETON COMMUNITY CARE, INC. (NPI# 1265634059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265634059 |
| Entity Type | Organization |
| Organization Name | PENDLETON COMMUNITY CARE, INC. |
| Practice Address |
82 Pine St Franklin WV 26807-0100 |
| Mailing Address |
Po Box 100 Franklin WV 26807-0100 |
| Practice Telephone | 3043582355 |
| Practice Fax Number | 3043583054 |
| Mailing Telephone | 3043582355 |
| Mailing Fax Number | 3043583054 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | JAMIE HUDSON (CEO) |
| Authorized Official Telephone | 3043587230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 51D0872802 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006212 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427307222 | Pendleton Community Care, Inc. | Clinic/Center | 1 Mott Street, Harman, WV 26270-0014 | 2012-09-07 |
| 1477646693 | Pendleton Community Care, Inc. | Pharmacy | 203 N Main Street, Franklin, WV 26807 | 2006-10-02 |
| 1417931379 | Pendleton Community Care, Inc. | Clinic/Center | 16921 Mountaineer Drive, Riverton, WV 26814-0101 | 2005-12-05 |
| 1346442134 | Pendleton Community Care, Inc. | Clinical Medical Laboratory | 16921 Mountaineer Drive, Riverton, WV 26814-0101 | 2007-06-04 |
| Street Address |
82 PINE ST |
| City | FRANKLIN |
| State | WV |
| Zip Code | 26807-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417936535 | Pendleton Community Care Inc | Clinic/Center | 82 Pine St, Franklin, WV 26807-0100 | 2006-01-17 |
| 1609184688 | Devon K Somerville | Physician Assistant | 82 Pine St, Franklin, WV 26807-0100 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458484 | Misty Ann Perry | Technician | 22 Sweeney Place, Franklin, WV 26807 | 2020-08-19 |
| 1437760741 | Ashley Carpenter | Technician | 105 Mountain St Dr, Franklin, WV 26807 | 2020-08-11 |
| 1447860325 | Melissa Faye Skiles | Technician | 635 Dogwood Drive, Franklin, WV 26807 | 2020-08-05 |
| 1235617614 | Kaitlyn Nicole Crites | Physician Assistant | 82 Pine Street, Franklin, WV 26807 | 2018-07-30 |
| 1689091647 | Pendleton Senior & Family Services, Inc | Case Management | 231 Mill Rd., Franklin, WV 26807 | 2014-03-27 |
| 1770881526 | Randall Harper Bowers | Pharmacist | 71 Mountaineer Dr, Hc 73 Box 1f, Franklin, WV 26807 | 2011-03-03 |
| 1275841314 | Lorrinda Starr Hendrick Carr | Registered Nurse | 888 Walnut Street, Pendleton Co Board of Education, Franklin, WV 26807 | 2010-09-23 |
| 1205062601 | Brandon Thomas Mitchell | Dentist | 161 South Branch Street, Franklin, WV 26807 | 2009-06-01 |
| 1376712992 | Pendleton County Board of Education | Local Education Agency (LEA) | 108 Walnut Street, Pendleton County Board of Education, Martinsburg, WV 26807 | 2008-02-28 |
| 1821266826 | Helan Dean Turner | Specialist/Technologist | 201 N High St, Franklin, WV 26807 | 2008-02-13 |
| Find all providers in zip 26807 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1477854701 | Diatech Oncology LLC | Clinical Medical Laboratory | 405 Duke Drive, Suite 240, Franklin, TN 37067 | 2010-11-03 |
| 1821270109 | Home Healthcare Laboratory of America, LLC | Clinical Medical Laboratory | 320 Premier Ct S, Envelope, Franklin, TN 37067-8248 | 2007-11-29 |
| 1245426121 | Performance Labs Inc | Clinical Medical Laboratory | 133 Holiday Court, Suite 111, Franklin, TN 37067 | 2007-09-24 |
| Find all providers in FRANKLIN | ||||
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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.