# WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robert C. Byrd Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013496991
- **Authorized official:** MARY P NEMCIK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 645-3220

## Contact information

- **Practice address:** 1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
- **Practice address phone:** (304) 645-3220
- **Practice address fax:** (304) 793-2491
- **Mailing address:** 1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
- **Mailing address phone:** (304) 645-3220
- **Mailing address fax:** (844) 479-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 08/19/2026