Bluestone Health Association, Inc. | |
3997 Beckley Rd Princeton WV 24740-7660 | |
(304) 431-5499 | |
(304) 431-3400 |
Full Name | Bluestone Health Association, Inc. |
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Speciality | Clinic/Center |
Location | 3997 Beckley Rd, Princeton, West Virginia |
Authorized Official Name and Position | Linda Sue Hutchens (CEO) |
Authorized Official Contact | 3044315499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bluestone Health Association, Inc. 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 | Bluestone Health Association, Inc. 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 |
NPI Number | 1346266848 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 02/24/2021 |
Medicare PECOS PAC ID | 3577505221 |
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Medicare Enrollment ID | O20051115000502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346266848 | NPI | - | NPPES |
CD7656 | Other | WV | RR MC |
001706661 | Other | WV | BCBS |
0035334000 | Medicaid | WV | |
001776052 | Other | WV | BCBS |
0022360001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Matthew J Haag |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033107016 PECOS PAC ID: 7911997903 Enrollment ID: I20050804001262 |
Provider Name | Phillip Allen Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104882596 PECOS PAC ID: 8628075942 Enrollment ID: I20061031000016 |
Provider Name | William C Bird |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033108733 PECOS PAC ID: 5496852659 Enrollment ID: I20070523000072 |
Provider Name | Jenine L Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861686289 PECOS PAC ID: 4981792066 Enrollment ID: I20071127000329 |
Provider Name | Ronald W Billips |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881850592 PECOS PAC ID: 8224104070 Enrollment ID: I20080903000123 |
Provider Name | Sabrina Kay Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366720047 PECOS PAC ID: 9032378690 Enrollment ID: I20120416000201 |
Provider Name | Nicholas Samuel Muscari |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548557341 PECOS PAC ID: 0244455004 Enrollment ID: I20140710002112 |
Provider Name | Mary E Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568861482 PECOS PAC ID: 2961724448 Enrollment ID: I20141211002147 |
Provider Name | Samantha Dawn Nunley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396128112 PECOS PAC ID: 8527373620 Enrollment ID: I20150819007076 |
Provider Name | Leigh Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003299116 PECOS PAC ID: 8628379963 Enrollment ID: I20151210002282 |
Provider Name | Angela Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134662836 PECOS PAC ID: 7911282389 Enrollment ID: I20170327001702 |
Provider Name | Krystin Bourdua Austin |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1407385735 PECOS PAC ID: 0648540401 Enrollment ID: I20170727000029 |
Provider Name | Angela Michelle Akers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497240774 PECOS PAC ID: 8628312048 Enrollment ID: I20181211002972 |
Provider Name | Heather Marie-nicole Waddell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386297901 PECOS PAC ID: 7517297807 Enrollment ID: I20190930002686 |
Provider Name | Jessica Ann Deel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326527870 PECOS PAC ID: 0547508103 Enrollment ID: I20191002000834 |
Provider Name | Tina Lucille Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285173963 PECOS PAC ID: 8527486604 Enrollment ID: I20200922002892 |
Provider Name | Jonathan Stephen Pierce |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144609041 PECOS PAC ID: 1052600210 Enrollment ID: I20210107001098 |
Provider Name | Melissa D Lucado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164160867 PECOS PAC ID: 6800279084 Enrollment ID: I20220822000846 |
Provider Name | Shelly Denise Pack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629714761 PECOS PAC ID: 1658754767 Enrollment ID: I20220822002417 |
Provider Name | Brittany Danielle Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104534106 PECOS PAC ID: 9830568013 Enrollment ID: I20221209001393 |
Provider Name | Stephanie Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144982042 PECOS PAC ID: 2264803055 Enrollment ID: I20230112002662 |
Provider Name | Carlee Brooke Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083325930 PECOS PAC ID: 8820458920 Enrollment ID: I20230721000049 |
Bluestone Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Thorn St, Princeton, WV 24740 Phone: 681-282-5609 Fax: 304-936-6157 | |
Total Life Family Practice Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 12th Street Ext, Princeton, WV 24740 Phone: 304-425-9568 Fax: 304-425-2744 | |
Faith Family Helalth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 617 Mercer St, Princeton, WV 24740 Phone: 304-887-3530 | |
Princeton Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 Harrison St, Princeton, WV 24740 Phone: 304-431-7100 Fax: 304-431-7112 | |
Midtowne Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 12th Street Ext, Princeton, WV 24740 Phone: 304-431-9998 Fax: 304-425-0782 | |
Southern Highlands Community Mental Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 12th Street Ext, Princeton, WV 24740 Phone: 304-425-9541 Fax: 681-282-5558 | |
Blue Ridge Internal Medicine Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 12th Street Ext, Princeton, WV 24740 Phone: 304-487-0232 Fax: 304-487-0285 |