MEDICAL ASSOCIATES OF GLEN DANIEL (NPI# 1801815733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801815733 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF GLEN DANIEL |
| Practice Address |
109 Bolt Road Glen Daniel WV 25844 |
| Mailing Address |
310 George St Beckley WV 25801-2653 |
| Practice Telephone | 3049345125 |
| Mailing Telephone | 3042549022 |
| Mailing Fax Number | 3042549024 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. JOSE JORGE GORDINHO (PRESIDENT) |
| Authorized Official Telephone | 3042549022 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
PENDING | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0072202000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548454986 | Medical Associates of Glen Daniel | Nursing Care | 109 Bolt Rd, Glen Daniel, WV 25844-0216 | 2007-08-29 |
| Street Address |
109 BOLT ROAD |
| City | GLEN DANIEL |
| State | WV |
| Zip Code | 25844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466483 | Mary Elizabeth Milam | Technician | 151 First St, Glen Daniel, WV 25844 | 2020-10-29 |
| 1073125092 | Barbara Gosnell | Technician | 154 East Fern Rd, Glen Daniel, WV 25844 | 2020-08-20 |
| 1295055259 | Jan L Roop | Pharmacist | 7255 Harper Rd., Glen Daniel, WV 25844 | 2010-06-01 |
| 1942529904 | Teresa C. Thompson | Pharmacist | 7255 Harper Rd, Glen Daniel, WV 25844 | 2010-05-28 |
| 1407180599 | Courtney Elizabeth Epling | Physician Assistant | 6435 Harper Road, Glen Daniel, WV 25844 | 2009-09-23 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1922204643 | Community Health Systems, Inc. | Clinic/Center | 7127 Harper Road, Glen Daniel, WV 25844 | 2007-06-21 |
| 1205948528 | Dr Ralph E Simms Inc | Family Medicine | 6435 Harper Rd, Glen Daniel, WV 25844 | 2006-08-31 |
| 1265472377 | Trap Hill Fire and Rescue | Ambulance | 765 Bolt Road, Glan Daniel, WV 25844 | 2006-06-07 |
| 1184017097 | Community Health Systems Inc | Pharmacy | 7127 Harper Road, Glen Daniel, WV 25844 | 2015-03-17 |
| Find all providers in zip 25844 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1902444987 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 10261 Frankfort Hwy, Fort Ashby, WV 26719-4533 | 2019-12-20 |
| 1083274385 | Pleasant Valley Hospital Inc | Clinic/Center | 2007 2nd St, Mason, WV 25260-1269 | 2019-06-18 |
| 1619434529 | Bluefield Hospital Company LLC | Clinic/Center | 154 Majestic Pl, Bluefield, WV 24701-9170 | 2019-02-27 |
| 1609272343 | Wetzel County Hospital Association | Clinic/Center | 3 E Benjamin Dr Ste B, New Martinsville, WV 26155-2705 | 2014-11-07 |
| 1669882916 | Three Rivers Medical Clinics Inc | Clinic/Center | 47460 Route 52, Kermit, WV 25674-8052 | 2014-05-07 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1710203419 | City of Sistersville | Clinic/Center | 305 Clay St, Sistersville, WV 26175 | 2010-04-20 |
| 1801039565 | Boone Memorial Hospital, Inc | Clinic/Center | 660a S Main St, Madison, WV 25130-1245 | 2009-04-10 |
| 1679766018 | Grafton City Hospital Inc | Clinic/Center | 133 E Veterans Memorial Hwy, Flemington, WV 26347 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
| City | GLEN DANIEL |
| Zip Code | 25844 |
Please comment or provide details below to improve the information on MEDICAL ASSOCIATES OF GLEN DANIEL.
| 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.