CHARLESTON AREA MEDICAL CENTER
NPI 1396964185
Specialist in Charleston, WV

Active since April 24, 2007
3100 MACCORKLE AVE SE, SUITE 202, CHARLESTON, WV 25304(304) 388-4973(304) 388-4968 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charleston Area Medical Center NPPES

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

CHARLESTON AREA MEDICAL CENTER (NPI 1396964185) is a healthcare organization registered as a specialist in Charleston, West Virginia and active in the NPI registry since April 2007. The organization lists Dawn Lynn Bacchus, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396964185
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLESTON AREA MEDICAL CENTER
Location Address3100 MACCORKLE AVE SE, SUITE 202Charleston, WV 25304-1223
Mailing Address132 Riverview DrTornado, WV 25202-9716 · (304) 388-4973 · Fax (304) 388-4968
Fax(304) 388-4968
Organization SubpartNo
Authorized OfficialDawn Lynn BacchusNurse Practitioner · (304) 388-4973
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 10, 2009
NPI 1396964185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WV · 41107
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3100 MACCORKLE AVE SE, Charleston, WV 25304

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

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.

Internal Medicine (Cardiovascular Disease)
3100 MACCORKLE AVE SE, SUITE 902
CHARLESTON, WV 25304
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3100 MACCORKLE AVE SE, SUITE 811
CHARLESTON, WV 25304
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304
Physician Assistant
3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE, SUITE 404
CHARLESTON, WV 25304
Psychologist (Clinical)
3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304
Internal Medicine (Gastroenterology)
3100 MACCORKLE AVE SE, SUITE 509
CHARLESTON, WV 25304
Physician Assistant (Medical)
3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396964185, enumerated as an "organization" on April 24, 2007.

The provider is located at 3100 MACCORKLE AVE SE SUITE 202 CHARLESTON, WV 25304 and the phone number is (304) 388-4973.

Specialist with taxonomy code 174400000X.