BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC (NPI# 1629685045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629685045 |
| Entity Type | Organization |
| Organization Name | BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC |
| Practice Address |
2112 F St Nw Ste 102 Washington DC 20037-2722 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 2022964455 |
| Mailing Telephone | 2143793300 |
| Mailing Fax Number | 2148539018 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | BOND ANDREWS (VP REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PIDARC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174062731 | Baymark Health Services of West Virginia, Inc | Clinic/Center | 53 Don Knotts Blvd, Morgantown, WV 26508-6838 | 2017-02-15 |
| Street Address |
2112 F ST NW STE 102 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20037-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1477173326 | Lisa Kate Eitches | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associ, 2150 Pennsylvania Ave, Nw, Washington, DC 20037 | 2020-04-21 |
| 1992280044 | Aakshit Goyal | Student in an Organized Health Care Education/Training Program | The George Washington University Hospital, 900, 23 Rd Street, Washington, DC 20037 | 2018-09-25 |
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1003392689 | Eugenie Atallah | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associates 2150 Pennsylvania Ave, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2018-07-17 |
| 1033637541 | Brianna Bachelle Eliades | Physical Medicine & Rehabilitation | 2175 K Street, Nw, C120, Washington, DC 20037 | 2017-09-05 |
| 1376067967 | Candace Mary Willett | Pediatrics | 2440 M St Nw Ste 205, Washington, DC 20037 | 2017-07-26 |
| 1982125894 | Fransisca Indraswari | Student in an Organized Health Care Education/Training Program | The George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue Nw, Washington, DC 20037 | 2017-06-30 |
| 1750816021 | Mohammed Alsaggaf | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, Dc 20037, Usa, Washington, DC 20037 | 2017-04-25 |
| 1053868802 | Nicolle Denise Cooley | Speech-Language Pathologist | 2600 Virginia Avenue Nw, Suite #900, Washington, DC 20037 | 2016-09-08 |
| Find all providers in zip 20037 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1932688314 | Volunteers of America Chesapeake Inc. | Clinic/Center | 508 Kennedy St Nw Fl 2, Washington, DC 20011-3010 | 2018-08-07 |
| 1326468950 | Shona House | Clinic/Center | 920 Bellevue St Se, Washington, DC 20032-6030 | 2014-04-22 |
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| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20037 |
Please comment or provide details below to improve the information on BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
| 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.