Ruby Clendenin
Community Health Worker in Charleston, WV. Individual provider (NPI-1).
NPI number1336733252
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1336733252
- Entity type
- Individual (NPI-1)
- Name
- Ruby Clendenin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1105 Hunt AveCharleston, WV 25302-1026
Phone 304-395-4508
Mailing address
1105 Hunt AveCharleston, WV 25302-1026
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,704 Community Health Worker providers in Charleston · All 9,831 providers in Charleston
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