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BUCKHANNON MEDICAL CARE
NPI 1275558017
Internal Medicine - Geriatric Medicine in Buckhannon, WV

Active since July 13, 2006CLIA 51D0915651 · Waiver
11 N LOCUST ST, BUCKHANNON, WV 26201(304) 472-1600(304) 472-6382 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buckhannon Medical Care NPPES

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

BUCKHANNON MEDICAL CARE (NPI 1275558017) is a healthcare organization registered as a geriatric medicine in Buckhannon, West Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Rebecca Jean Hammer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275558017
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCENTRAL WV MEDCORP, INC.
Location Address11 N LOCUST STBuckhannon, WV 26201-2231
Mailing AddressPo Box 2630Elkins, WV 26241-2630 · (304) 637-3736 · Fax (304) 637-3369
Phone(304) 472-1600
Fax(304) 472-6382
Organization SubpartNo
Authorized OfficialRebecca Jean HammerCfo · (304) 637-3156
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 31, 2011
✔ NPI 1275558017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
11 N LOCUST ST, Buckhannon, WV 26201
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Other Names 1

Doing Business AsBuckhannon Medical Care

Other Identifiers 19

Other020935300WV · Dol Federal Black Lung Pr
Medicaid0009078000WV
Medicare PINCE9277341WV
Other001710531WV · Mt St Bcbs Pac Pay To #
Medicare PIN51-3916WV
Medicare PINCE9277343WV
Medicare PINCE9277346WV
Other000897320WV · Mt St Bcbs Group Number
Medicare PINCE9356173WV
Other020935302WV · Dol Federal Black Lung Pr
Medicare PINCE9356171WV
Medicare PINCE9277347WV
Medicare PINCE9277345WV
Medicare PINCE9277348WV
Medicaid3810010990WV
Medicare PINCE9277349WV
Medicare PINCE9356172WV
Other151585801WV · Dol Federal Black Lung Pr
Medicare ID-Type UnspecifiedCA1556WV · Group Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 51D0915651

Buckhannon Medical Care Davis Memorial Hospital · Buckhannon, WV
Active · expires Sep 30, 2026
CLIA Number51D0915651
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDiana Landsverk
Laboratory Phone(304) 472-1600
Laboratory LocationBuckhannon Medical Care Davis Memorial Hospital11 North Locust Street, Buckhannon, WV 26201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. GREGORY MICHAEL PETERS M.D.
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 473-1440
DR. JOHNNY DWAYNE SMITH D.O.
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
CENTRAL WV MEDCORP, INC
Clinical Medical Laboratory
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-4968
DR. IRA FRANKLIN HARTMAN M.D.
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
KESSA D. THORPE PA-C
Physician Assistant
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
DR. STEPHEN MICHAEL SMITH M.D.
Internal Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
MS. THERESA ANN BLACK FNP-BC
Nurse Practitioner (Family)
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600
DAVIS MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
11 N LOCUST ST
BUCKHANNON, WV 26201
Upshur County (304) 472-1600

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 Central Wv Medcorp, Inc.'s NPI number?

The NPI number for Central Wv Medcorp, Inc. is 1275558017. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Buckhannon Medical Care.

Where is Central Wv Medcorp, Inc. located?

Central Wv Medcorp, Inc. is located at 11 N Locust St, Buckhannon, WV 26201. The listed phone number is (304) 472-1600.

What is Central Wv Medcorp, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Central Wv Medcorp, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0915651) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Wv Medcorp, Inc. accept?

Health plans from CareSource list Central Wv Medcorp, 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 Central Wv Medcorp, Inc. was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.