| Arbh Triage Providers | |
|
432 Hospital Dr Linville NC 28646 | |
| (828) 262-4133 | |
| (828) 262-4103 |
| Full Name | Arbh Triage Providers |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 432 Hospital Dr, Linville, North Carolina |
| Authorized Official Name and Position | Mary Etta Long (SVP MEDICAL STAFF RELATIONS) |
| Authorized Official Contact | 8282624133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbh Triage Providers 432 Hospital Dr Linville NC 28646 Ph: () - | Arbh Triage Providers 432 Hospital Dr Linville NC 28646 Ph: (828) 262-4133 |
| NPI Number | 1629642475 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Medicare PECOS PAC ID | 6002216256 |
|---|---|
| Medicare Enrollment ID | O20210610000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629642475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mark C Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851314967 PECOS PAC ID: 7012818388 Enrollment ID: I20040119000681 |
| Provider Name | Alycia Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790762078 PECOS PAC ID: 6800783747 Enrollment ID: I20040303001266 |
| Provider Name | Marianne L Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467532564 PECOS PAC ID: 8921050410 Enrollment ID: I20050212000024 |
| Provider Name | Eugene Leonard Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134148745 PECOS PAC ID: 4284739988 Enrollment ID: I20070424000596 |
| Provider Name | Jennifer F Womble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346374329 PECOS PAC ID: 8820174881 Enrollment ID: I20080401000151 |
| Provider Name | Ella T Markland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043395965 PECOS PAC ID: 6507939832 Enrollment ID: I20080721000297 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20091007000779 |
| Provider Name | Ivy De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871726679 PECOS PAC ID: 7416094982 Enrollment ID: I20091102000595 |
| Provider Name | Bradley Tanner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447348131 PECOS PAC ID: 8325178650 Enrollment ID: I20100614000466 |
| Provider Name | Steven Edward Sand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871737916 PECOS PAC ID: 7012146434 Enrollment ID: I20140206000340 |
| Provider Name | Brian Sealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548698434 PECOS PAC ID: 4688892888 Enrollment ID: I20140829002305 |
| Provider Name | Carrie A Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497010011 PECOS PAC ID: 7719296797 Enrollment ID: I20151013001359 |
| Provider Name | Katherine K Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316334709 PECOS PAC ID: 9133420045 Enrollment ID: I20151218000934 |
| Provider Name | David H Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519501 PECOS PAC ID: 2961709878 Enrollment ID: I20160321000977 |
| Provider Name | Robert S Broce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235595489 PECOS PAC ID: 6204133911 Enrollment ID: I20160323002424 |
| Provider Name | Jessica L Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619359338 PECOS PAC ID: 5294035655 Enrollment ID: I20161114000789 |
| Provider Name | Vincent Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396078549 PECOS PAC ID: 6103083647 Enrollment ID: I20161214001439 |
| Provider Name | Luna Sanchez Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942584776 PECOS PAC ID: 4183995418 Enrollment ID: I20170804002667 |
| Provider Name | Jessica C Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164056537 PECOS PAC ID: 8325478399 Enrollment ID: I20200415003541 |
| Provider Name | Eric M Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710365267 PECOS PAC ID: 3375851009 Enrollment ID: I20200530000159 |
| Provider Name | Melanie A Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679149223 PECOS PAC ID: 6406248293 Enrollment ID: I20220128001702 |
| Provider Name | Melissa K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891271888 PECOS PAC ID: 1658754098 Enrollment ID: I20220817001423 |
| Provider Name | Kourtnei M Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437687654 PECOS PAC ID: 4880082601 Enrollment ID: I20220819001023 |
| Provider Name | Robert J Bartucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912054990 PECOS PAC ID: 5092717553 Enrollment ID: I20230130002552 |
| Provider Name | Paige L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477115517 PECOS PAC ID: 0042683773 Enrollment ID: I20230228002556 |
| Provider Name | Taylor Y Quattlebaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346709623 PECOS PAC ID: 9931441367 Enrollment ID: I20231004002125 |
| Provider Name | Benjamin Seth Ramsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255998027 PECOS PAC ID: 9638501430 Enrollment ID: I20231009001590 |
| Provider Name | Melanie D Childers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740544790 PECOS PAC ID: 6406207539 Enrollment ID: I20240112001933 |
| Provider Name | Rachel A Feldman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861841116 PECOS PAC ID: 4486091592 Enrollment ID: I20240326000184 |
| Provider Name | Gregory M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518711910 PECOS PAC ID: 1951743848 Enrollment ID: I20240523001429 |
Arbh Providers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 Hospital Dr, Linville, NC 28646 Phone: 828-262-4133 Fax: 828-262-4103 | |
Cannon Inpatient Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 828-737-7000 Fax: 828-737-7709 | |
Cannon Op Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 828-262-9154 Fax: 828-262-9159 |