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MONTGOMERY PEDIATRICS
NPI 1548890221
Clinic/Center - Rural Health in Montgomery, WV

Active since January 22, 2020CLIA 51D0995690 · Waiver
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, Jun 23, 2021, May 12, 2021 and 2 more (5 updates tracked since 2020).

About Montgomery Pediatrics NPPES

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

MONTGOMERY PEDIATRICS (NPI 1548890221) is a healthcare organization registered as a rural health in Montgomery, West Virginia and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Sherri Murray, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548890221
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 22, 2020
Last NPPES UpdateApril 12, 20235 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1548890221 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 ListedPediatricsTaxonomy 208000000X
401 6TH AVE, Montgomery, WV 25136
Open in Google Maps ↗

Other Names 1

Other NameMontgomery Pediatrics

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 51D0995690

Montgomery Pediatrics · Montgomery, WV
Active · expires Aug 23, 2027
CLIA Number51D0995690
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorDr. Bradley G. Marple
Laboratory Phone(304) 442-8516
Laboratory LocationMontgomery Pediatrics401 6th Avenue Suite 101, Montgomery, WV 25136
CLIA data matches this NPI record on: Address Name
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
MONTGOMERY GENERAL HOSPITAL, INC
Clinic/Center (Rural Health)
401 6TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-5151

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 1548890221. It was assigned to this organization in the NPPES registry on January 22, 2020. The provider is also known as Montgomery Pediatrics.

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.

Does Montgomery General Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0995690) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.