MAIN STREET ADDICTION CENTER INC
NPI 1639616006
Family Medicine - Addiction Medicine in Logan, WV

Q: What is Main Street Addiction Center Inc's NPI number?

The NPI number for Main Street Addiction Center Inc is 1639616006. It was assigned to this organization in the NPPES registry on January 24, 2017.

Q: What is Main Street Addiction Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since January 24, 2017

204 MAIN ST, LOGAN, WV 25601(304) 752-3400(304) 752-3400 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Street Addiction Center Inc NPPES

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

MAIN STREET ADDICTION CENTER INC (NPI 1639616006) is a healthcare organization registered as an addiction medicine in Logan, West Virginia and active in the NPI registry since January 2017. The organization lists Kenneth W. Sells, Owner, as its authorized official.

NPPES Registry Identity

NPI1639616006

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameMAIN STREET ADDICTION CENTER INC

Location Address204 MAIN STLogan, WV 25601-3944

Mailing Address204 Main StLogan, WV 25601-3944 · (304) 752-3400 · Fax (304) 752-3400

Phone(304) 752-3400

Fax(304) 752-3400

Organization SubpartNo

Authorized OfficialKenneth W. SellsOwner · (304) 752-3400

Enumeration DateJanuary 24, 2017

✔ NPI 1639616006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in WV · 1489

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

204 MAIN ST, Logan, WV 25601

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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

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 Main Street Addiction Center Inc's NPI number?

The NPI number for Main Street Addiction Center Inc is 1639616006. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Main Street Addiction Center Inc located?

Main Street Addiction Center Inc is located at 204 Main St, Logan, WV 25601. The listed phone number is (304) 752-3400.

What is Main Street Addiction Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Main Street Addiction Center Inc was last updated on January 24, 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.