RAINELLE MEDICAL CENTER, INC (NPI# 1437772225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437772225 |
| Entity Type | Organization |
| Organization Name | RAINELLE MEDICAL CENTER, INC |
| Other Organization Name | RMC GREENBRIER NEPHROLOGY CENTER |
| Practice Address |
289 Dawkins Dr Lewisburg WV 24901-9674 |
| Mailing Address |
176 Medical Center Dr Rainelle WV 25962-1064 |
| Practice Telephone | 3047930005 |
| Mailing Telephone | 3044386188 |
| Mailing Fax Number | 3044386819 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | DEBRA J DAVIDSON-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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GREENBRIER NEPHROLOGY CENTER | Doing Business As Name - Organization |
| RMC GREENBRIER NEPHROLOGY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068001 | Rainelle Medical Center, Inc | Counselor | 149 Goheen St, Lewisburg, WV 24901-1661 | 2020-03-12 |
| 1174132153 | Rainelle Medical Center, Inc | Internal Medicine | 117 Mall Rd, Covington, VA 24426-2413 | 2020-07-27 |
| 1568098234 | Rainelle Medical Center, Inc | Clinic/Center | 286 Main St, Rainelle, WV 25962-1133 | 2020-03-13 |
| Street Address |
289 DAWKINS DR |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982825428 | Heather L, Ratliff | Internal Medicine | 289 Dawkins Dr, Lewisburg, WV 24901-9674 | 2007-05-01 |
| 1992250625 | Marie D Green | Nurse Practitioner | 289 Dawkins Dr, Lewisburg, WV 24901-9674 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| 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 |
|---|---|---|---|---|
| 1497244412 | Rainelle Medical Center, Inc. | Clinic/Center | 296 Fair St, Lewisburg, WV 24901-2632 | 2018-05-04 |
| 1679937783 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 201, Lewisburg, TN 37091-2227 | 2016-04-06 |
| 1578921763 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 2016-02-03 |
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| 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 |
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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.