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254 Pinecrest Dr Gallipolis OH 45631-1347 | |
| (740) 578-4824 | |
| (740) 578-4821 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 254 Pinecrest Dr, Gallipolis, Ohio |
| Authorized Official Name and Position | Dianna Kay Smith (PARTNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7405784824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
254 Pinecrest Dr Gallipolis OH 45631-1347 Ph: (740) 578-4824 | 254 Pinecrest Dr Gallipolis OH 45631-1347 Ph: (740) 578-4824 |
| NPI Number | 1750812293 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Medicare PECOS PAC ID | 3870861198 |
|---|---|
| Medicare Enrollment ID | O20170609001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750812293 | NPI | - | NPPES |
| 0462140 | Medicaid | OH |
| Provider Name | Dianna K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669440723 PECOS PAC ID: 9436293651 Enrollment ID: I20161205002424 |
| Provider Name | Kayla Marie Zerkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159364 PECOS PAC ID: 6305114992 Enrollment ID: I20170623000424 |
| Provider Name | Leann Nora Morrissette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417460965 PECOS PAC ID: 0143754697 Enrollment ID: I20241106004048 |
| Provider Name | Amanda Brumfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033635453 PECOS PAC ID: 5890220933 Enrollment ID: I20241126000880 |
Hopewell Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Ave, Gallipolis, OH 45631 Phone: 740-446-5554 | |
Tasc Of Southeast Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-6471 | |
Southern Ohio Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-2925 Fax: 740-441-2970 | |
Smith Family Healthcare, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 254 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-578-4824 Fax: 740-578-4821 | |
Woodland Centers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-441-4402 |