| |
386 Airport Road Chapmanville WV 25508-4013 | |
(304) 855-1200 | |
(304) 855-1230 |
Full Name | |
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Speciality | Family Medicine |
Location | 386 Airport Road, Chapmanville, West Virginia |
Authorized Official Name and Position | Sarah Lynn Vance (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 3048551200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 4013 386 Airport Road Chapmanville WV 25508-4013 Ph: (304) 855-1200 | 386 Airport Road Chapmanville WV 25508-4013 Ph: (304) 855-1200 |
NPI Number | 1124253083 |
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Provider Enumeration Date | 05/21/2009 |
Last Update Date | 09/26/2024 |
Certification Date | 09/26/2024 |
Medicare PECOS PAC ID | 2668528746 |
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Medicare Enrollment ID | O20090914000823 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124253083 | NPI | - | NPPES |
Provider Name | James K Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265412472 PECOS PAC ID: 9436132552 Enrollment ID: I20040610000414 |
Provider Name | Mary Nemeth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558553677 PECOS PAC ID: 8022107721 Enrollment ID: I20071204000036 |
Provider Name | Jon Robert Bowen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093929036 PECOS PAC ID: 5991871204 Enrollment ID: I20080911000192 |
Provider Name | Jamie M Brunetti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659704187 PECOS PAC ID: 1951536770 Enrollment ID: I20131104001013 |
Provider Name | Amanda E Hinkle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255658290 PECOS PAC ID: 4385868876 Enrollment ID: I20140625000043 |
Provider Name | Dena Barker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124403977 PECOS PAC ID: 3577860568 Enrollment ID: I20160317001797 |
Provider Name | Anitra M Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831542281 PECOS PAC ID: 4183905482 Enrollment ID: I20161228001393 |
Provider Name | Shenna M Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083027676 PECOS PAC ID: 2062748205 Enrollment ID: I20190725003554 |
Provider Name | Traci L Kramer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922643907 PECOS PAC ID: 9537598255 Enrollment ID: I20211206001449 |
Provider Name | David Ray Lewis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154828663 PECOS PAC ID: 2567713779 Enrollment ID: I20230525002229 |
Provider Name | Jenna Marie Hager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093391260 PECOS PAC ID: 3173969896 Enrollment ID: I20240315001579 |
Provider Name | Halie Jo Newsome |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306526256 PECOS PAC ID: 4789024050 Enrollment ID: I20240503000574 |
Provider Name | Joshua Byron Mcclanahan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1467186353 PECOS PAC ID: 5991245201 Enrollment ID: I20240912001696 |
Provider Name | Susan Kimberly Mcclanahan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609643030 PECOS PAC ID: 4486195807 Enrollment ID: I20240925000760 |
Life Solutions Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Rock Lick Rd, Chapmanville, WV 25508 Phone: 304-688-9732 Fax: 304-688-9732 | |
Aspire Occupational Rehabilitation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 North Main Street, Chapmanville, WV 25508 Phone: 304-855-5886 Fax: 304-855-5889 |