Eastern Panhandle Mental Health Center (waiver), NPI 1093135584
Community/Behavioral Health Agency in Martinsburg, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093135584 |
| NPI Entity Type | Organization |
| Provider Name |
Eastern Panhandle Mental Health Center (waiver)
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 235 S Water St, Martinsburg, WV, US |
| Provider Mailing Address | 235 S Water St, Martinsburg, WV, US, 254014241 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. G. Paul Macom |
| Official Position | CEO/PRESIDENT |
| Phone | 304-263-8954 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| License No. | 1022-6441 |
| License State | WV |
| Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0023817002 | WV | MEDICAID | 05 |
| 0023817001 | WV | MEDICAID | 05 |
| 0023817000 | WV | MEDICAID | 05 |
| 3810022967 | WV | MEDICAID | 05 |
| 3810012620 | WV | MEDICAID | 05 |
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|---|---|---|---|
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Tisean Jayree Walker Individual |
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267 Midway Rd |
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Mary Mccullough Individual |
1599 2nd Ave |
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