CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB – NPI #1215092473
Clinic/Center

CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB is an AHC clinic located in BLACKSVILLE, WV. NPPES has assigned the NPI number 1215092473 to CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB” is a dba name, the actual legal business name for this organization is CLAY-BATTELLE HEALTH SERVICES ASSOCIATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Aug 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB below.

NPI Profile for
CLAY-BATTELLE HEALTH SERVICES ASSOCIATION

NPI Number
1215092473
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLAY-BATTELLE HEALTH SERVICES ASSOCIATION
Doing Business As (dba): CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB
Primary location
5861 MASON DIXON HWY
BLACKSVILLE, WV 26521
Phone: (304) 432-8211 Fax: (304) 432-8213
Mailing address
PO BOX 72
BLACKSVILLE, WV 26521-0072
Phone: (304) 432-8211 Fax: (304) 432-8213
Organization Subpart
No
Authorized Official
REBECCA THOMAS
CEO
Phone: (304) 432-8211
Updated
Certification Date
Aug 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLAY-BATTELLE COMMUNITY HEALTH CENTER LAB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV0035288006
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
291U00000X
- Clinical Medical Laboratory		 WV 51D0236727

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.