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PINE GROVE RURAL HEALTH CLINIC
NPI 1326186586
Clinic/Center - Rural Health in Pine Grove, WV

Active since February 01, 2007CLIA 51D0901697 · Waiver
12960 SHORTLINE HWY, PINE GROVE, WV 26419(304) 889-3344(304) 889-3366 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Grove Rural Health Clinic NPPES

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

PINE GROVE RURAL HEALTH CLINIC (NPI 1326186586) is a healthcare organization registered as a rural health in Pine Grove, West Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Brian Felici, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326186586
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWETZEL COUNTY HOSPITAL ASSOCIATION
Location Address12960 SHORTLINE HWYPine Grove, WV 26419
Mailing AddressP.o. Box 244New Martinsville, WV 26155-2705 · (304) 455-8000 · Fax (304) 455-4259
Phone(304) 889-3344
Fax(304) 889-3366
Organization SubpartNo
Authorized OfficialBrian FeliciCeo · (304) 455-8000
Enumeration DateFebruary 1, 2007
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1326186586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
12960 SHORTLINE HWY, Pine Grove, WV 26419
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Other Names 1

Doing Business AsPine Grove Rural Health Clinic

Other Identifiers 4

Medicare OSCAR/certification513989
Medicare PIN513989
Medicare ID-Type Unspecified513989WV · Rhc
Medicaid0001221008WV

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 51D0901697

Pine Grove Health Clinic · Pine Grove, WV
Active · expires Jul 14, 2028
CLIA Number51D0901697
Laboratory TypePractitioner Other
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorTracy Myers
Laboratory Phone(304) 889-3344
Laboratory LocationPine Grove Health Clinic12960 Shortline Highway, Pine Grove, WV 26419
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

WETZEL COUNTY HOSPITAL, INC.
Clinic/Center (Rural Health)
12960 SHORTLINE HWY
PINE GROVE, WV 26419
Wetzel County (304) 889-3344
MRS. TRACY PEARL MYERS C-AGNP
Nurse Practitioner (Primary Care)
12960 SHORTLINE HWY
PINE GROVE, WV 26419
Wetzel County (304) 889-3344

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 Wetzel County Hospital Association's NPI number?

The NPI number for Wetzel County Hospital Association is 1326186586. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Pine Grove Rural Health Clinic.

Where is Wetzel County Hospital Association located?

Wetzel County Hospital Association is located at 12960 Shortline Hwy, Pine Grove, WV 26419. The listed phone number is (304) 889-3344.

What is Wetzel County Hospital Association's specialty?

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

Does Wetzel County Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0901697) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wetzel County Hospital Association was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.