National Provider Identifier Database

BAYMARK HEALTH SERVICES OF WEST VIRGINIA INC
Addiction Medicine


Contact Information

BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
53 DON KNOTTS BLVD
MORGANTOWN, WV26508-6838
Phone: 304-284-0025
Fax: 304-284-0031
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X
Addiction (Substance Use Disorder) 101YA0400X
Addiction (Substance Use Disorder) 163WA0400X
Addiction Medicine 207RA0401X
Licensed Practical Nurse 164W00000X
Mental Health 101YM0800X
Other Service Providers 175T00000X
Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.

NPI Number 1255047759
Legal business name
LBN
BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Authorized official BRUCE JARVIE - (VP, TREASURER)
Entity Organization
Organization subpart No
Enumeration date 01/27/2023
Last updated 07/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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