Eastridge Health Systems, Inc.
LBN: Eastern Panhandle Mental Health Center
Eastridge Health Systems, Inc. is an health care organization with primary practice located at 235 S Water St , Martinsburg WV 25401-4241. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Eastern Panhandle Mental Health Center can be contacted via phone (304) 263-8954, or through Macom, G Paul via phone (304) 263-8954.
Contact Information
Primary practice address
235 S Water St
Martinsburg WV 25401-4241
Phone: (304) 263-8954
Fax: (304) 264-0763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 1022-6441 | West Virginia |
Profile Details
| NPI number | 1982974416 |
|---|---|
| LBN Legal business name | Eastern Panhandle Mental Health Center |
| DBA Doing business as | Eastridge Health Systems, Inc. |
| Authorized official | Macom, G Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 30th, 2011 |
| Last updated | Jul 26th, 2023 - about last year |
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 | 1982974416 | NPPES |
| West Virginia | MEDICAID | 0023817000 | |
| West Virginia | MEDICAID | 0023817001 | |
| West Virginia | MEDICAID | 0023817002 | |
| West Virginia | MEDICAID | 3810012620 |
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Eastern Panhandle Mental Health Center (Clinic)
235 S Water St , Martinsburg WV 25401-4241