Organization
CENTRAL WV MEDCORP, INC.
Active
Other names
Buckhannon Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA JEAN HAMMER (CFO)
(304) 637-3156
Entity
Organization
Contact information
Practice address
11 N LOCUST ST, BUCKHANNON, WV 26201-2231
(304) 472-1600
(304) 472-6382
Mailing address
PO BOX 2630, ELKINS, WV 26241-2630
(304) 637-3736
(304) 637-3369
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207P00000X
Emergency Medicine Physician
—
WV
207Q00000X
Family Medicine Physician
—
WV
207R00000X
Internal Medicine Physician
—
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
WV
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
WV
2086S0129X
Vascular Surgery Physician
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000897320
MT ST BCBS GROUP NUMBER
WV
05
—
0009078000
—
WV
01
—
001710531
MT ST BCBS PAC PAY TO #
WV
01
—
020935300
DOL FEDERAL BLACK LUNG PR
WV
01
—
020935302
DOL FEDERAL BLACK LUNG PR
WV
01
—
151585801
DOL FEDERAL BLACK LUNG PR
WV
05
—
3810010990
—
WV
Enumeration date
07/13/2006
Last updated
10/31/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up