ST. MARY'S MEDICAL MANAGEMENT, LLC – NPI #1922155217
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ST. MARY'S MEDICAL MANAGEMENT, LLC is a provider located in HUNTINGTON, WV. NPPES has assigned the NPI number 1922155217 to ST. MARY'S MEDICAL MANAGEMENT, LLC on January 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Aug 13, 2025. 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 ST. MARY'S MEDICAL MANAGEMENT, LLC below.

NPI Profile for
ST. MARY'S MEDICAL MANAGEMENT, LLC

NPI Number
1922155217
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
ST. MARY'S MEDICAL MANAGEMENT, LLC
Primary location
2900 1ST AVE
HUNTINGTON, WV 25702
Phone: (304) 526-1234 Fax: (304) 526-1489
Mailing address
PO BOX 4190
BARBOURSVILLE, WV 25504-4190
Phone: (304) 908-9201 Fax: (304) 935-3334
Organization Subpart
No
Authorized Official
TODD CAMPBELL
CFO
Phone: (304) 526-8914
Updated
Certification Date
Aug 13, 2025

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 ST. MARY'S MEDICAL MANAGEMENT, LLC

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBSMT MOUNTAIN STATEWV001934200
otherBSMT/ MID LEVELWV002016965
otherUNISYS / ST MARY'S LABWV3810009673
medicaidKY7100073660
medicaidKY7100101210
medicaidWV3810007944
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.

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669