Family Health Associates of the Kanawha Valley, PLLC
NPI 1174686463ActiveOrganization· Family Medicine· South Charleston, WV
Family Medicine in South Charleston, West Virginia, registered in NPPES in December 2006. The authorized official on file is Julie Ann Detemple, MD, Manager, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174686463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Apr 22, 2024 |
| Certified by provider | Apr 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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