# GREENBRIER PHYSICIANS RURAL HEALTH CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952865255
- **Authorized official:** STEVEN VESS DO (PRESIDENT)
- **Authorized official phone:** (304) 647-1175

## Contact information

- **Practice address:** 1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
- **Practice address phone:** (304) 647-1139
- **Practice address fax:** (304) 647-3006
- **Mailing address:** 1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
- **Mailing address phone:** (304) 647-1139
- **Mailing address fax:** (304) 647-3006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 01/31/2019