Manchin Clinic South, LLC
NPI 1265605208ActiveOrganization· Clinic/Center· White Hall, WV
Clinic/Center in White Hall, West Virginia, registered in NPPES in April 2008. The authorized official on file is John Manchin, D.O., Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265605208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2008 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|