CHARLES E.PORTERFIELD — NPI 1760701668 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MAN, WV)

CMS-1500 Box 24J / 33a • NPI

1760701668

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QS1200X (CMS C0)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

111 MAIN ST, MAN, WV, 25635-1211

✓ 9-Digit EDI 837 ZIP+4 (25635-1211)

Practice Phone & Referral Fax

(304) 255-5710

Fax: (304) 255-5702

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760701668 (CHARLES E.PORTERFIELD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760701668` (NPI-2 Organization / Facility)
Provider / Legal Name	CHARLES E.PORTERFIELD
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QS1200X` (Clinic/Center, Sleep Disorder Diagnostic)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	111 MAIN ST, MAN, WV, 25635-1211
Practice Telephone / Fax	Tel: (304) 255-5710 \| Fax: (304) 255-5702
Administrative Mailing Address	PO BOX 1307, BECKLEY, WV, 25802-1307
Enumeration & Last Sync	Enumerated: 2010-05-18 \| CMS Record Updated: 2010-05-18
Authorized Official	CHARLES PORTERFIELD (Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 MAIN ST, MAN, WV, 25635-1211

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Plain-English Taxonomy & CMS Crosswalk (261QS1200X)

What Does Taxonomy Code 261QS1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QS1200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C0 (Physician/Sleep Medicine)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARLES E.PORTERFIELD)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QS1200X` — Clinic/Center, Sleep Disorder Diagnostic Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHARLES E.PORTERFIELD (NPI #1760701668)