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MONTGOMERY PHYSICIAN CLINIC
NPI 1275163644
Clinic/Center - Rural Health in Montgomery, WV

Active since January 24, 2020
401 6TH AVE, MONTGOMERY, WV 25136(304) 442-5151(304) 442-7494 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Aug 19, 2021, Jan 20, 2021 and 1 more (4 updates tracked since 2020).

About Montgomery Physician Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY PHYSICIAN CLINIC (NPI 1275163644) is a healthcare organization registered as a rural health in Montgomery, West Virginia and active in the NPI registry since January 2020. The organization lists Sherri Murray, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275163644
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMONTGOMERY GENERAL HOSPITAL, INC
Location Address401 6TH AVEMontgomery, WV 25136-2116
Mailing AddressPo Box 270Montgomery, WV 25136-0270 · (304) 442-5151 · Fax (304) 442-7494
Phone(304) 442-5151
Fax(304) 442-7494
Organization SubpartYes
Authorized OfficialSherri MurrayCfo · (304) 442-1246
Enumeration DateJanuary 24, 2020
Last NPPES UpdateApril 12, 20234 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1275163644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
401 6TH AVE, Montgomery, WV 25136
Open in Google Maps ↗

Other Names 1

Doing Business AsMontgomery Physician Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2189212

Montgomery Physicians Clinic · Montgomery, WV
Expired · Jul 27, 2026
CLIA Number51D2189212
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorDr. Sam Atassi
Laboratory Phone(304) 442-2521
Laboratory LocationMontgomery Physicians Clinic401 6th Ave, Montgomery, WV 25136
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTGOMERY GEN CAHGRP
Family Medicine
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-5151
COAL VALLEY PHYSICIANS INC
Family Medicine
401 6TH AVE, D303
MONTGOMERY, WV 25136
Fayette County (304) 442-9582
AARON BAILEY
Physician Assistant
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-7477
MONTGOMERY GENERAL HOSPITAL, INC
Pharmacy (Community/Retail Pharmacy)
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-5151
LAURA SHEETS COTA/L
Occupational Therapy Assistant
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-7416
REAGAN JOHNSON
Physician Assistant
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-5151
ROBERT MICHAEL EGGLESTON MD
Internal Medicine
401 6TH AVE, SUITE 301
MONTGOMERY, WV 25136
Fayette County (304) 442-2521
DR. GHASSAN Y DAGHER MD
Ophthalmology
401 6TH AVE, SUITE 110
MONTGOMERY, WV 25136
Fayette County (304) 442-8076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery General Hospital, Inc's NPI number?

The NPI number for Montgomery General Hospital, Inc is 1275163644. It was assigned to this organization in the NPPES registry on January 24, 2020. The provider is doing business as Montgomery Physician Clinic.

Where is Montgomery General Hospital, Inc located?

Montgomery General Hospital, Inc is located at 401 6th Ave, Montgomery, WV 25136. The listed phone number is (304) 442-5151.

What is Montgomery General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Montgomery General Hospital, Inc accept?

Health plans from CareSource list Montgomery General Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montgomery General Hospital, Inc was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.