Evergreen Behavioral Health Center, Inc.

LBN: Evergreen Behavioral Health Center, Inc.
Evergreen Behavioral Health Center, Inc. is an health care organization with primary practice located at 240 North St , New Martinsville WV 26155-1771. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Evergreen Behavioral Health Center, Inc. can be contacted via phone (304) 455-4415, or through Fetty, B. Mark via phone (304) 455-4415.

Contact Information

Primary practice address
240 North St New Martinsville WV 26155-1771
Phone: (304) 455-4415
Fax: (304) 455-2501
Website:
Map and Directions
Authorized official contact:
Name: Fetty, B. Mark AB
Phone: (304) 455-4415

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 112 West Virginia

Profile Details

NPI number 1154412492
LBN Legal business name Evergreen Behavioral Health Center, Inc.
DBA Doing business as
Authorized official Fetty, B. Mark AB
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154412492 NPPES
West Virginia MEDICAID 0005321000
West Virginia MEDICAID 0005321002
West Virginia MEDICAID 0005321001

Popular Providers