KINGWOOD FAMILY CARE, LLC (NPI# 1306330345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306330345 |
| Entity Type | Organization |
| Organization Name | KINGWOOD FAMILY CARE, LLC |
| Practice Address |
17548 Veterans Memorial Highway Suite D Kingwood WV 26537 |
| Practice Telephone | 3044412001 |
| Practice Fax Number | 3044412009 |
| Mailing Telephone | 3044412001 |
| Mailing Fax Number | 3044412009 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | ROBERT GOODWIN JR. (OWNER) |
| Authorized Official Telephone | 3043191825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
UD000764150001 | WV | Ambulatory Health Care Facilities |
| Street Address |
17548 VETERANS MEMORIAL HIGHWAY SUITE D |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 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 |
| 1578662615 | Dewitt Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Tmc Bldg 215, Camp Dawson, WV 26537 | 2006-09-22 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394476 | Rapid Response Physicians Pllc | Clinic/Center | 22751 Professional Dr Ste 21022751, Kingwood, TX 77339-6021 | 2020-07-28 |
| 1891229399 | Synergenx Health - Kingwood LLC | Clinic/Center | 2665 Royal Frst Ste B-150, Kingwood, TX 77339-5045 | 2017-04-12 |
| 1568847879 | Med Care To You Management, Inc | Clinic/Center | 4582 Kingwood Drive, Suite E107, Kingwood, TX 77345 | 2015-07-28 |
| 1346636271 | The Lady With The Lamp Pllc | Clinic/Center | 5519 Lone Cedar Dr, Kingwood, TX 77345-1431 | 2015-04-07 |
| 1144564345 | K. R. Baker Enterprises, Inc. | Clinic/Center | 4321 Kingwood Dr # 143, Kingwood, TX 77339-3700 | 2012-11-12 |
| 1356778708 | Medspring Prime, Pa | Clinic/Center | 1450 Kingwood Dr, Kingwood, TX 77339-3040 | 2013-10-01 |
| 1740423466 | Jb Internal Medicine | Clinic/Center | 201 Kingwood Medical Dr, Suite A-300, Kingwood, TX 77339-6012 | 2009-04-10 |
| 1063627453 | Dr. Francis Lansang Md Pa | Clinic/Center | 6 N Main St, Kingwood, TX 77339-3709 | 2007-05-11 |
| 1851318729 | Kingwood Family Medicine, Pa | Clinic/Center | 22751 Professional Dr, Suite 1400, Kingwood, TX 77339 | 2006-07-16 |
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| 1548518095 | Charles Town Health Right, Inc | Clinic/Center | 1212 N. Mildred St., Ranson, WV 25438-5552 | 2012-08-15 |
| 1154676096 | Mebrahtom Tesfai Pllc | Clinic/Center | 212 Professional Park, Beckley, WV 25801-3624 | 2012-07-17 |
| 1679832646 | Health Thru Care, LLC | Clinic/Center | 1397 Earl L. Core Road, Sabraton Plaza, Morgantown, WV 26505 | 2012-05-11 |
| 1811261225 | Bruceton Medical Center | Clinic/Center | 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 | 2012-03-02 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| 1588961577 | City Pediatrics | Clinic/Center | 1804 W King St, Suite 200, Martinsburg, WV 25401-2004 | 2011-02-28 |
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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.