DAMOUS CENTER (NPI# 1639665912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639665912 |
| Entity Type | Organization |
| Organization Name | DAMOUS CENTER |
| Practice Address |
234 Lee Ave Nitro WV 25143 |
| Mailing Address |
218 D St South Charleston WV 25303-3104 |
| Practice Telephone | 3042012095 |
| Mailing Telephone | 3047203835 |
| Mailing Fax Number | 3047203836 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | MR. GEORGE MICHAEL DAMOUS (OWNER) |
| Authorized Official Telephone | 3047203835 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
234 LEE AVE |
| City | NITRO |
| State | WV |
| Zip Code | 25143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649478777 | Rachel E. Umeh | Psychologist | 234 Lee Ave, Nitro, WV 25143-2304 | 2007-07-10 |
| 1609243765 | Michalene Marie Ebbert | Counselor | 234 Lee Ave, Nitro, WV 25143-2304 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639537 | Regina Alford | Technician | 640 Cross Lanes Dr. Apt #6, Nitro, WV 25143 | 2020-11-03 |
| 1831677061 | Amy Bateman | Pharmacist | Fruth Pharmacy Patient Care Center, 106 21st Street, Nitro, WV 25143 | 2018-07-31 |
| 1033617543 | Anne Dean | Technician | 3306 3rd St, Nitro, WV 25143 | 2018-01-30 |
| 1720506363 | Philip Neil Kennedy II | Pharmacist | 106 21st Street, Nitro, WV 25143 | 2017-09-05 |
| 1326373705 | Laurie Jewel Elkins | Nurse Anesthetist, Certified Registered | 905 Washington Avenue, Nitro, WV 25143 | 2009-10-02 |
| 1588826515 | Rachel Heilmann | Pharmacist | 113 Norwood Drive, Nitro, WV 25143 | 2008-07-01 |
| 1326140922 | Terry Lee Mcwatters | Dentist | 2201 22nd Street, Nitro, WV 25143 | 2006-09-02 |
| 1942256821 | Modern Medicine Inc | Durable Medical Equipment & Medical Supplies | 4114 1st Ave, Nitro, WV 25143 | 2006-05-25 |
| 1962455261 | Eye Doc Inc | Optometrist | 100 Nitro Marketplace, Nitro, WV 25143 | 2006-05-18 |
| 1972808012 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 4200 1st Ave, Suite 109, Nitro, WV 25143 | 2011-01-21 |
| Find all providers in zip 25143 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1073027371 | Melanie B Rogers LLC | Clinic/Center | 748 Fairmont Rd, Morgantown, WV 26501-4060 | 2017-11-22 |
| 1386851509 | Kanawha Valley Center Inc | Clinic/Center | 200 Bradford Street, Charleston, WV 25301-5301 | 2007-05-17 |
| 1659413177 | Autism Services Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-12 |
| 1346318672 | Green Acres Regional Center Inc | Clinic/Center | 7830 Ohio River Road, Lesage, WV 25537 | 2006-12-04 |
| 1922019074 | Highland Behavioral Health Services Inc | Clinic/Center | 376 Kenmore Drive, Danville, WV 25053 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
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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.