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Everett Meadows

Community Health Worker in Princewick, WV. Individual provider (NPI-1).

NPI number1962096602
StatusActive
Last updated in NPPESFeb 23, 2021

Details

NPI
1962096602
Entity type
Individual (NPI-1)
Name
Everett Meadows
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 23, 2021
Certification date
Feb 23, 2021
Last updated
Feb 23, 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 codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1106 Epperly Rd
Princewick, WV 25908-9603

Phone 304-683-5907

Mailing address

1106 Epperly Rd
Princewick, WV 25908-9603

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