Clay-Battelle Community Health Center Lab
LBN: Clay-Battelle Health Services Association
Clay-Battelle Community Health Center Lab is an health care organization with primary practice located at 5861 Mason Dixon Hwy , Blacksville WV 26521. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Clay-Battelle Health Services Association can be contacted via phone (304) 432-8211, or through Thomas, Rebecca J via phone (304) 432-8211.
Contact Information
Primary practice address
5861 Mason Dixon Hwy
Blacksville WV 26521
Phone: (304) 432-8211
Fax: (304) 432-8213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 51D0236727 | West Virginia |
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1215092473 |
|---|---|
| LBN Legal business name | Clay-Battelle Health Services Association |
| DBA Doing business as | Clay-Battelle Community Health Center Lab |
| Authorized official | Thomas, Rebecca J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Aug 25th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215092473 | NPPES |
| West Virginia | MEDICAID | 0035288006 |
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