OLYMPIC CENTER PRESTON, INC. (NPI# 1275740623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275740623 |
| Entity Type | Organization |
| Organization Name | OLYMPIC CENTER PRESTON, INC. |
| Practice Address |
Rt. 7, Manown Kingwood WV 26537-0158 |
| Mailing Address |
Po Box 158 Rt. 7, Manown Kingwood WV 26537-0158 |
| Practice Telephone | 3043292400 |
| Practice Fax Number | 3043292405 |
| Mailing Telephone | 3043292400 |
| Mailing Fax Number | 3043292405 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ARLENE GLOVER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3043292400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
06GRR033 | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004372 | 05 |
| Street Address |
RT. 7, MANOWN |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537-0158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187603 | Herbert J Thomas Memorial Hospital Association | Substance Abuse Rehabilitation Facility | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2019-04-30 |
| 1669937744 | Southwestern Regional Day Report Center | Substance Abuse Rehabilitation Facility | 1 Washington Ave, Logan, WV 25601-3965 | 2019-02-04 |
| 1487066684 | Lily's Place, Inc. | Substance Abuse Rehabilitation Facility | 1320 7th Ave, Huntington, WV 25701-2904 | 2014-05-22 |
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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.