CLINIC IV INC (NPI# 1639235310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639235310 |
Entity Type | Organization |
Organization Name | CLINIC IV INC |
Practice Address |
100 New Hope Rd Princeton WV 24740-2143 |
Practice Telephone | 3044259592 |
Practice Fax Number | 3044878967 |
Mailing Telephone | 3044259592 |
Mailing Fax Number | 3044878967 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. PHILLIP HURST (VICE PRESIDENT) |
Authorized Official Telephone | 3044259592 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251F00000X | Home Infusion | SP0552254 | WV | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0144276001 | 05 |
Street Address |
100 NEW HOPE RD |
City | PRINCETON |
State | WV |
Zip Code | 24740-2143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912937764 | Charles John Mirabile | Internal Medicine | 100 New Hope Rd, Suite 104, Princeton, WV 24740-2143 | 2006-07-04 |
1073694287 | Joseph A Dicristofaro | Radiologic Technologist | 100 New Hope Rd, Medical Arts Building Suite #12, Princeton, WV 24740 | 2006-10-17 |
1043326762 | Lee E Smith Md & Robert M Jones Mdpc | Otolaryngology | 100 New Hope Rd, Suite 20, Princeton, WV 24740-2143 | 2006-08-23 |
1871528380 | East River Primary Care, P.C. | Internal Medicine | 100 New Hope Rd, Suite 104, Princeton, WV 24740-2143 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
Find all providers in zip 24740 |
Taxonomy Code | 251F00000X |
Grouping | Agencies |
Classification | Home Infusion |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619316981 | Bioscrip Infusion Services, LLC | Home Infusion | 2600 White Hall Blvd., Suite 131, White Hall, WV 26554-8226 | 2013-06-20 |
1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
1386907855 | West Virginia Nursing Network Infusion Services, LLC | Home Infusion | 600-b Prestige Park Suite 5, Hurricane, WV 25526 | 2012-06-20 |
1053315788 | Eppy's Iv, Inc | Home Infusion | 2987 A Robert C. Byrd Drive, Beckley, WV 25801 | 2005-06-10 |
1598370611 | Bioscrip Infusion Services, LLC | Home Infusion | 4401 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2020-09-15 |
1295340321 | Bioscrip Infusion Services, LLC | Home Infusion | 2600 White Hall Blvd., Suite 131, White Hall, WV 26554 | 2020-09-15 |
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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.