Eastern Panhandle Mental Health Center (clinic), NPI 1811317308
Community/Behavioral Health Agency in Martinsburg, WV, US

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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 1811317308
NPI Entity Type Organization
Provider Name Eastern Panhandle Mental Health Center (clinic)
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
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Organization Official

Official Name MR. G. Paul Macom
Official Position CEO/PRESIDENT
Phone 304-263-8954

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

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 Organization Name

EastRidge Health Systems
Doing Business As

Business Address

Eastern Panhandle Mental Health Center (clinic)
235 S Water St

Martinsburg, WV, US

Phone: 304-263-8954
Fax: 304-264-0763

Mailing Address

Eastern Panhandle Mental Health Center (clinic)
235 S Water St
Martinsburg, WV, US
ZIP 254014241
Phone: 304-263-8954
Fax: 304-264-0763

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3810012620 WV MEDICAID 05
3810022967 WV MEDICAID 05
0023817000 WV MEDICAID 05
0023817001 WV MEDICAID 05
0023817002 WV MEDICAID 05

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

Individual

Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

Individual

Peer Specialist

1057 6th Ave

Huntington, WV

1730804188

Melissa Jones

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1114642568

Gideon Mossor

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1164147500

Deloris Ann Hopkins

Individual

Home Health Aide

42 Parrish Ln

Ashford, WV

1255056693

Elizabeth Neal

Individual

Homemaker

1614 S Kanawha St

Beckley, WV

1629793054

Luke Petrice

Individual

Case Manager/Care Coordinator

710 Maple St

Elkins, WV

1588389910

Joshua Riley

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1275258691

Katelyn Lucas

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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