EBENEZER MEDICAL OUTREACH, INC
NPI 1558796326
Pharmacy - Clinic Pharmacy in Huntington, WV

Active since September 11, 2013CLIA 51D0862290 · Microscopy
1448 10TH AVE, HUNTINGTON, WV 25701(304) 529-0753(304) 529-0591 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ebenezer Medical Outreach, Inc NPPES

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

EBENEZER MEDICAL OUTREACH, INC (NPI 1558796326) is a healthcare organization registered as a clinic pharmacy in Huntington, West Virginia and active in the NPI registry since September 2013. The organization holds a CLIA Microscopy certificate valid through September 28, 2027 and lists Gina Finley, Pic, as its authorized official.

NPPES Registry Identity

NPI1558796326
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameEBENEZER MEDICAL OUTREACH INC
Location Address1448 10TH AVEHuntington, WV 25701-3581
Mailing Address1448 10th AveHuntington, WV 25701-3581 · (304) 529-0753 · Fax (304) 529-0591
Fax(304) 529-0591
Organization SubpartNo
Authorized OfficialGina FinleyPic · (304) 529-0753
Enumeration DateSeptember 11, 2013
Last NPPES UpdateNovember 6, 2013
NPI 1558796326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in WV · CC0559059
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1448 10TH AVE, Huntington, WV 25701

Other Names 1

Doing Business AsEbenezer Medical Outreach, Inc

Other Identifiers 1

Other2142452Pk

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 for Provider-Performed Microscopy Procedures (PPMP) 51D0862290

Ebenezer Medical Outreach Inc · Huntington, WV
Active · expires Sep 28, 2027
CLIA Number51D0862290
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorDr. Matthew Christiansen
Laboratory Phone(304) 529-0753
Laboratory LocationEbenezer Medical Outreach Inc1448 10th Avenue Suite 100, Huntington, WV 25701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Occupational Medicine)
1448 10TH AVE, SUITE 313
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1448 10TH AVE
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1448 10TH AVE
HUNTINGTON, WV 25701
Dental Hygienist
1448 10TH AVE
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1448 10TH AVE
HUNTINGTON, WV 25701
Durable Medical Equipment & Medical Supplies
1448 10TH AVE, SUITE 302
HUNTINGTON, WV 25701

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 Ebenezer Medical Outreach Inc's NPI number?

The NPI number for Ebenezer Medical Outreach Inc is 1558796326. It was assigned to this organization in the NPPES registry on September 11, 2013. The provider is doing business as Ebenezer Medical Outreach, Inc.

Where is Ebenezer Medical Outreach Inc located?

Ebenezer Medical Outreach Inc is located at 1448 10th Ave, Huntington, WV 25701. The listed phone number is (304) 529-0753.

What is Ebenezer Medical Outreach Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Ebenezer Medical Outreach Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0862290) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ebenezer Medical Outreach Inc was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.