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Contact Information

422 23RD STREET OPERATIONS LLC
422 23RD ST
OAK HILL, WV25901-2830
 Phone: 304-465-1903
 Fax: 304-949-3807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 422 23RD STREET OPERATIONS LLC

NPI Number 1821272139
LBN Legal business name 422 23RD STREET OPERATIONS LLC
Authorized official MICHAEL BERG - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2007
Last updated 10/06/2025 - About 8 months ago
Identifiers
WV License # 129
WV Medicaid 3810007143
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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