| Braxton County High School Wellness Center | |
|
200 Jerry Burton Dr Sutton WV 26601-9768 | |
| (304) 765-7331 | |
| (304) 765-7976 |
| Full Name | Braxton County High School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Jerry Burton Dr, Sutton, West Virginia |
| Authorized Official Name and Position | Richard G Simon (CEO) |
| Authorized Official Contact | 3049246262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braxton County High School Wellness Center 200 Jerry Burton Dr Sutton WV 26601-9768 Ph: (304) 765-7331 | Braxton County High School Wellness Center 200 Jerry Burton Dr Sutton WV 26601-9768 Ph: (304) 765-7331 |
| NPI Number | 1396096863 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20130226000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396096863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2273-6224 (West Virginia) | Primary |
| Provider Name | Sarah Chouinard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023087954 PECOS PAC ID: 0042118127 Enrollment ID: I20031229000189 |
| Provider Name | Christine L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801865290 PECOS PAC ID: 6406824572 Enrollment ID: I20040923000906 |
| Provider Name | Jennifer A Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739464 PECOS PAC ID: 4688678519 Enrollment ID: I20060908000049 |
| Provider Name | Angela Gfayle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
| Provider Name | Raymond Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376769984 PECOS PAC ID: 7810068764 Enrollment ID: I20080619000753 |
| Provider Name | Aimee Michelle Whitehair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003093097 PECOS PAC ID: 9335217363 Enrollment ID: I20081004000001 |
| Provider Name | Kelly W Dunavant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609047109 PECOS PAC ID: 9335202803 Enrollment ID: I20090108000795 |
| Provider Name | Chris Neil Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326225350 PECOS PAC ID: 7214082551 Enrollment ID: I20090910000027 |
| Provider Name | Gregory M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033351234 PECOS PAC ID: 1759566599 Enrollment ID: I20110421000221 |
| Provider Name | Genevieve F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708513 PECOS PAC ID: 5597924175 Enrollment ID: I20120319000205 |
| Provider Name | Amy J Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861759284 PECOS PAC ID: 3678736006 Enrollment ID: I20120523000284 |
| Provider Name | Heather A Radcliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649539396 PECOS PAC ID: 1951557115 Enrollment ID: I20120803000706 |
| Provider Name | Iris Mae Canete Trinidad Carillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386873024 PECOS PAC ID: 3375791726 Enrollment ID: I20120910000910 |
| Provider Name | Joshua S Abbott |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891041406 PECOS PAC ID: 0648422030 Enrollment ID: I20121211000330 |
| Provider Name | Laura E Abbott |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093061608 PECOS PAC ID: 4082866470 Enrollment ID: I20121211000351 |
| Provider Name | Kimberly Renee Becher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528351863 PECOS PAC ID: 4385883065 Enrollment ID: I20140807001149 |
| Provider Name | Melissa Shockey Dodrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871887349 PECOS PAC ID: 5991923963 Enrollment ID: I20140904001927 |
| Provider Name | Christina Booda Gillenwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770876021 PECOS PAC ID: 3678712874 Enrollment ID: I20141205001626 |
| Provider Name | Joan M Doris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396149266 PECOS PAC ID: 7113241423 Enrollment ID: I20150114002407 |
| Provider Name | Stephanie H Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376972422 PECOS PAC ID: 7214240027 Enrollment ID: I20150723006972 |
| Provider Name | Betsy Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205312329 PECOS PAC ID: 6901278639 Enrollment ID: I20230207000832 |
| Provider Name | Melany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851914105 PECOS PAC ID: 5193172005 Enrollment ID: I20231115001393 |
Little Birch Elementary School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Little Birch Rd, Sutton, WV 26601 Phone: 304-924-6262 Fax: 304-924-5460 | |
J2 Osteopathic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Old Turnpike Rd, Sutton, WV 26601 Phone: 304-765-9500 Fax: 304-765-9502 | |
Braxton County Middle School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Carter Braxton Dr, Sutton, WV 26601 Phone: 304-765-2644 Fax: 304-765-2696 | |
Braxton County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Old Turnpike Road, Sutton, WV 26601 Phone: 304-765-2851 Fax: 304-765-2020 | |
Community Care Connections Of Flatwoods Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-4400 Fax: 304-765-0354 | |
Arturo B. Sabio M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Riverview Dr, Sutton, WV 26601 Phone: 304-765-5943 Fax: 304-765-4003 |