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1415 6th Ave Huntington WV 25701-2420 | |
| (304) 523-1142 | |
| (304) 523-2966 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1415 6th Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Rachel Blankenship (OFFICE MANAGER) |
| Authorized Official Contact | 6814642001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5044 Newcomb Creek Rd Huntington WV 25704-9704 Ph: (304) 638-8329 | 1415 6th Ave Huntington WV 25701-2420 Ph: (304) 523-1142 |
| NPI Number | 1558430637 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 5193637734 |
|---|---|
| Medicare Enrollment ID | O20031103000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558430637 | NPI | - | NPPES |
| 1558430637 | Medicaid | WV | |
| 7100935100 | Medicaid | KY | |
| 0441257 | Medicaid | OH |
| Provider Name | Janis L Rule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518274760 PECOS PAC ID: 5294928065 Enrollment ID: I20130124000324 |
| Provider Name | Gloria Kayfan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780787184 PECOS PAC ID: 1951491133 Enrollment ID: I20150916003548 |
| Provider Name | Kelly Michelle-reffitt Carte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699268896 PECOS PAC ID: 0648521799 Enrollment ID: I20180928001056 |
| Provider Name | Paul Edmond Cowsar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245488410 PECOS PAC ID: 9032141106 Enrollment ID: I20181113002621 |
| Provider Name | Vanessa Mathieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346547023 PECOS PAC ID: 9739332727 Enrollment ID: I20210312002371 |
| Provider Name | Michael Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902157688 PECOS PAC ID: 5395151526 Enrollment ID: I20230310000751 |
| Provider Name | Rebecca Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902448657 PECOS PAC ID: 2961866777 Enrollment ID: I20230913000435 |
Patchwork Therapy And Growth Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4766 Us Route 60 Unit B, Huntington, WV 25705 Phone: 304-802-4769 Fax: 304-318-7183 | |
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Starlight Behavioral Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5315 Cherry Lawn Rd, Huntington, WV 25705 Phone: 304-302-2078 Fax: 304-302-0279 | |