EGLON CLINIC – NPI #1538277231
Clinic/Center

EGLON CLINIC is an AHC clinic located in EGLON, WV. NPPES has assigned the NPI number 1538277231 to EGLON CLINIC on August 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EGLON CLINIC” is a dba name, the actual legal business name for this organization is PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED. 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 4 years ago on Feb 15, 2022. 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 EGLON CLINIC below.

NPI Profile for
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED

NPI Number
1538277231
Enumeration Date

(about 20 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
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Doing Business As (dba): EGLON CLINIC
Primary location
2604 GRANGE HALL ROAD
EGLON, WV 26716-0008
Phone: (304) 735-3155 Fax: (304) 735-3409
Mailing address
25 W BLUEMONT ST
GRAFTON, WV 26354-1242
Phone: (304) 265-0312 Fax: (304) 265-0314
Organization Subpart
Yes - EGLON CLINIC is subpart of another organization.
Authorized Official
BEVERLY SNYDER
EXECUTIVE ASSISTANT/ACCOUNT MANAGER
Phone: (304) 265-0312
Updated
Certification Date
Feb 15, 2022

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 EGLON CLINIC

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
MEDICAIDWV0035255000
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)

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.