INDUSTRIAL REHABILITATION CENTER (NPI# 1881645695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881645695 |
| Entity Type | Organization |
| Organization Name | INDUSTRIAL REHABILITATION CENTER |
| Other Organization Name | HEALTH AND REHABILITATION CENTER |
| Practice Address |
313 Maccorkle Ave Sw South Charleston WV 25303-1263 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 3047442300 |
| Practice Fax Number | 3047448195 |
| Mailing Telephone | 7404465387 |
| Mailing Fax Number | 7404465982 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | MS. VICKI L. RUSSELL-MASH (ADMINISTRATOR) |
| Authorized Official Telephone | 7404465551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE DMERC | 1036280001 | 01 |
| WV | 2219576 | 05 |
| Other Name | Type Code |
|---|---|
| Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
313 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871576496 | Megan Michelle Hazelett | Occupational Therapist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2005-11-29 |
| 1417469362 | Tyler Shamblin | Physical Therapist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2017-11-01 |
| 1073938668 | Matthew T Layne | Occupational Therapist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2014-02-19 |
| 1376973834 | Kristi M Clark | Audiologist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2013-11-20 |
| 1033134580 | Lucas J. Gregory | Physical Therapist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2006-07-13 |
| 1033161666 | Marietta Babayev | Physical Medicine & Rehabilitation | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2006-05-16 |
| 1689642100 | Thomas L Stec | Physical Therapist | 313 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513361 | Joshua E Parker | Clinic/Center | 3014 Champion Dr, Barboursville, WV 25504-9343 | 2020-03-16 |
| 1417499005 | Acupuncture & Holistic Health | Clinic/Center | 2998 Charleston Rd Ste 5, Ripley, WV 25271-5810 | 2016-11-14 |
| 1235596677 | Tygart Valley Medical Specialties, Inc | Clinic/Center | 911 Gorman Ave Ste 201, Elkins, WV 26241-3154 | 2016-01-15 |
| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1255403002 | Appalachian Highway Medical & Surgical Clinic, Pllc | Clinic/Center | Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 | 2006-11-15 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1245238237 | Grant Memorial Hospital | Clinic/Center | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2005-07-13 |
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
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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.