CLENDENIN HEALTH CENTER LAB
NPI 1407259062
Clinic/Center - Federally Qualified Health Center (FQHC) in Clendenin, WV

Q: What is Clendenin Health Center Lab's NPI number?

The NPI number for Clendenin Health Center Lab is 1407259062. It was assigned to this organization in the NPPES registry on September 26, 2014.

Q: What is Clendenin Health Center Lab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 26, 2014

107 KOONTZ AVE STE 200, CLENDENIN, WV 25045(304) 734-2040(301) 734-2047 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Clendenin Health Center Lab NPPES

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

CLENDENIN HEALTH CENTER LAB (NPI 1407259062) is a healthcare organization registered as a federally qualified health center (fqhc) in Clendenin, West Virginia and active in the NPI registry since September 2014. The organization lists Jennifer Russell, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1407259062

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCLENDENIN HEALTH CENTER LAB

Location Address107 KOONTZ AVE STE 200Clendenin, WV 25045-9581

Mailing AddressPo Box 70Dawes, WV 25054-0070 · (304) 734-2040 · Fax (304) 734-2047

Phone(304) 734-2040

Fax(301) 734-2047

Organization SubpartNo

Authorized OfficialJennifer RussellAdministrative Assistant · (304) 734-2040

Enumeration DateSeptember 26, 2014

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1407259062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

107 KOONTZ AVE STE 200, Clendenin, WV 25045

Open in Google Maps ↗

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 14

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

DR. CAITLYN ELIZABETH NELSON D.D.S

Dentist (General Practice)