Country Roads Healthcare, Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Sophia, West Virginia. The current practice location for Country Roads Healthcare, Llc is 833 Robert C Byrd Dr, Sophia, West Virginia. For appointments, you can reach them via phone at (304) 578-6355. The mailing address for Country Roads Healthcare, Llc is Po Box 1288, Sophia, West Virginia and phone number is (304) 578-6355.
Country Roads Healthcare, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821849274. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 578-6355.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Country Roads Healthcare, Llc Po Box 1288 Sophia WV 25921-1288 Ph: (304) 578-6355
Country Roads Healthcare, Llc 833 Robert C Byrd Dr Sophia WV 25921 Ph: (304) 578-6355
NPI Details:
NPI Number
1821849274
Provider Enumeration Date
04/01/2024
Last Update Date
04/01/2024
Certification Date
03/28/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
8527508662
Medicare Enrollment ID
O20240904002824
Medical Identifiers
Medical identifiers for Country Roads Healthcare, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1821849274
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Secondary
101YM0800X
Counselor - Mental Health
(* (Not Available))
Secondary
207QA0401X
Family Medicine - Addiction Medicine
(* (Not Available))
Secondary
251S00000X
Community/behavioral Health
(* (Not Available))
Primary
261QM1300X
Clinic/center - Multi-specialty
(* (Not Available))
Secondary
261QM2500X
Clinic/center - Medical Specialty
(* (Not Available))
Secondary
363LP0808X
Nurse Practitioner - Psychiatric/mental Health
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Country Roads Healthcare, Llc acts as a billing entity for following providers: