Clendenin Health Center Lab
NPI 1407259062 · Federally Qualified Health Center (FQHC) · Clendenin, WV
Clendenin Health Center Lab is a Federally Qualified Health Center (FQHC) organization in Clendenin, WV (NPI 1407259062).
Provider details
- NPI number
- 1407259062
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Russell, Administrative Assistant(304) 734-2040
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-26
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Clendenin Health Center Lab's NPI number?
- Clendenin Health Center Lab's National Provider Identifier (NPI) is 1407259062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clendenin Health Center Lab?
- Clendenin Health Center Lab is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Clendenin Health Center Lab located?
- Clendenin Health Center Lab's practice location on file with NPPES is 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581.
- What is Clendenin Health Center Lab's phone number?
- The practice phone number listed in the NPPES registry for Clendenin Health Center Lab is (304) 734-2040.
- Who is the authorized official for Clendenin Health Center Lab?
- The authorized official listed on Clendenin Health Center Lab's NPPES record is Jennifer Russell, Administrative Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clendenin Health Center Lab's NPI active?
- Yes — Clendenin Health Center Lab's NPI (1407259062) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.