ST. GEORGE MEDICAL CLINIC INC. (NPI# 1497853600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497853600 |
Entity Type | Organization |
Organization Name | ST. GEORGE MEDICAL CLINIC INC. |
Practice Address |
8591 Holly Meadows Rd Parsons WV 26287-8604 |
Practice Telephone | 3044783339 |
Practice Fax Number | 3044783311 |
Mailing Telephone | 3044783339 |
Mailing Fax Number | 3044783311 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2014-01-22 |
Authorized Official Name | MR. PAUL WAMSLEY JR. (CEO) |
Authorized Official Telephone | 3044783339 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0035139000 | 05 |
Street Address |
8591 HOLLY MEADOWS RD |
City | PARSONS |
State | WV |
Zip Code | 26287-8604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760968226 | Connie Townsend | Counselor | 8591 Holly Meadows Rd, Parsons, WV 26287-8604 | 2018-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366072852 | Delcina A Rogers | Technician | 202 Long Street, Parsons, WV 26287 | 2020-01-23 |
1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
1639278492 | Donald H Michels | Internal Medicine | 206 Spruce Street, Tucker Va Clinic, Parsons, WV 26287 | 2006-09-21 |
1780696757 | Maureena L Andreas | Dentist | 104 Kohler St, Parsons, WV 26287 | 2006-08-11 |
1528097524 | Lisa Dawn Conniff | Physician Assistant | Rt 1 Box 208, St. George, WV 26287 | 2006-07-02 |
1982651659 | Paul Dean Steinman Jr. | Emergency Medicine | 8591 Holly Meadows Road, Parsons, WV 26287 | 2006-05-28 |
1013563022 | Corey Ritter | Pharmacist | 134 Main St, Parsons, WV 26287 | 2019-08-15 |
1740594696 | Schmitt Family Medicine Pllc | Clinic/Center | 229 Walnut Street, Parsons, WV 26287-0165 | 2010-08-03 |
1154592269 | Carole Ann Wilson | Speech-Language Pathologist | 501 Chestnut St, Parsons, WV 26287-1005 | 2008-03-17 |
1033380472 | Mary Ellen Becker | Speech-Language Pathologist | 501 Chestnut St, Parsons, WV 26287-1005 | 2008-03-13 |
Find all providers in zip 26287 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.