SISTERSVILLE RURAL HEALTH CLINIC
NPI 1710203419
Clinic/Center - Rural Health in Sistersville, WV
NPI Status: Active since April 20, 2010
Contact Information
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
Phone: (304) 447-2038
Fax: (304) 447-3990
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 51D2202639
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-29-2026
About SISTERSVILLE RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Sistersville Rural Health Clinic, a primary care provider established in Sistersville, West Virginia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1710203419 assigned on April 2010. The practitioner's primary taxonomy code is 261QR1300X with license number 513412 (WV). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Sistersville Rural Health Clinic. The authorized official of this NPI record is Brandon W Chadock (Ao)
- NPI
- 1710203419
- Provider Legal Name
- CITY OF SISTERSVILLE
- Other Organization Name
- SISTERSVILLE RURAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 305 CLAY ST SISTERSVILLE, WV 26175
- Location Phone
- (304) 447-2038
- Location Fax
- (304) 447-3990
- Mailing Address
- 314 S WELLS ST SISTERSVILLE, WV 26175
- Mailing Phone
- (304) 652-2611
- Mailing Fax
- (304) 447-3990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2010
- Last Update Date
- 10-21-2020
- Code Navigator
A primary care provider (PCP) like Sistersville Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 513412
- License State
- WV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810018439 | MEDICAID (05) | WV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2202639
- Facility Type
- Physician Office
- Certificate Effective Date
- November 30, 2024
- Certificate Expiration Date
- November 29, 2026
- Laboratory Director
- DR. HEATHER D. STRAIGHT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sistersville Rural Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SISTERSVILLE RURAL HEALTH CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 2 | 0 | 3 | 4 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 4 | 0 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 4 + 0 + 6 + 4 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1710203419 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
Clinic/Center
(Rural Health)
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
ALISHA PLACER APRN FNP-C
Nurse Practitioner
(Family)
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
COURTNEY DANIELLE COOPER PA
Physician Assistant
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
JASON SNIDER
Physician Assistant
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
BRENDA STOOPS NP
Nurse Practitioner
(Family)
305 CLAY ST
SISTERSVILLE, WV
ZIP 26175
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710203419, enumerated as an "organization" on April 20, 2010.
The provider is located at 305 CLAY ST SISTERSVILLE, WV 26175 and the phone number is (304) 447-2038.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
