Central Wv Community Health Center - Medicare Primary Care in Summersville, WV

  1. Home
  2. Primary Care Clinics
  3. WV
  4. Summersville
Central Wv Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Summersville, West Virginia. The current practice location for Central Wv Community Health Center is 55 Friends R Fun Dr, Summersville, West Virginia. For appointments, you can reach them via phone at (304) 872-1663. The mailing address for Central Wv Community Health Center is Po Box 69, Camden On Gauley, West Virginia and phone number is (304) 226-5725.

Central Wv Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558340414. 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) 872-1663.

Contact Information

Central Wv Community Health Center
55 Friends R Fun Dr
Summersville
WV 26651-9514
(304) 872-1663
(304) 872-1804

Map and Direction


Primary Care Clinic Profile

Full NameCentral Wv Community Health Center
SpecialityClinic/Center
Location55 Friends R Fun Dr, Summersville, West Virginia
Authorized Official Name and PositionJudith Lynn Hamrick (ADMINISTRATOR)
Authorized Official Contact3042265725
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Wv Community Health Center
Po Box 69
Camden On Gauley
WV 26208-0069

Ph: (304) 226-5725		Central Wv Community Health Center
55 Friends R Fun Dr
Summersville
WV 26651-9514

Ph: (304) 872-1663

NPI Details:

NPI Number1558340414
Provider Enumeration Date01/10/2006
Last Update Date11/18/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6002867850
Medicare Enrollment IDO20050209000321

Medical Identifiers

Medical identifiers for Central Wv Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558340414NPI-NPPES
0035222000MedicaidWV
5197060OtherWVAETNA
3810014298MedicaidWV
001709708OtherWVMS BCBS
CC5506OtherWVRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Central Wv Community Health Center acts as a billing entity for following providers:
Provider NameMark Jason Hardway
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932163722
PECOS PAC ID: 5496641888
Enrollment ID: I20040224000127
Provider NameJoseph Franklin Dawson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316929227
PECOS PAC ID: 0648162594
Enrollment ID: I20040326000297
Provider NameKimberly J Angus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134184211
PECOS PAC ID: 9739153578
Enrollment ID: I20040825001533
Provider NameKathy Hamon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154312452
PECOS PAC ID: 4082603204
Enrollment ID: I20060925000014
Provider NameCrystal R Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376712893
PECOS PAC ID: 7810073285
Enrollment ID: I20080326000008
Provider NameMilissa K Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003089905
PECOS PAC ID: 5799832143
Enrollment ID: I20090422000192
Provider NameMiraflor G Khorshad
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1295824365
PECOS PAC ID: 0042364069
Enrollment ID: I20090811000001
Provider NameLinda R Mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275545378
PECOS PAC ID: 6901837392
Enrollment ID: I20091211000024
Provider NameRichard Alan Spencer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568422640
PECOS PAC ID: 1456491612
Enrollment ID: I20091218000217
Provider NamePatricia Renee Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730417700
PECOS PAC ID: 8123157146
Enrollment ID: I20100528000483
Provider NameCrystal Hickman Rodebaugh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568661064
PECOS PAC ID: 6002000635
Enrollment ID: I20101027001574
Provider NameMindy L Bostic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871880856
PECOS PAC ID: 3577735638
Enrollment ID: I20111013000594
Provider NameHeather N Sharp-spinks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376790170
PECOS PAC ID: 1658539341
Enrollment ID: I20120227000702
Provider NameElizabeth A Coffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386900140
PECOS PAC ID: 0840453817
Enrollment ID: I20120531000664
Provider NameHeather Dawn Odell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992078380
PECOS PAC ID: 2567627631
Enrollment ID: I20120625000099
Provider NameKristin G Bailes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417209784
PECOS PAC ID: 8224272596
Enrollment ID: I20130926000705
Provider NameBeth M Hudspeth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205183357
PECOS PAC ID: 0547483950
Enrollment ID: I20140603000455
Provider NameKara M Holdren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033519558
PECOS PAC ID: 8224351465
Enrollment ID: I20141223000715
Provider NameSara Sanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437540374
PECOS PAC ID: 2769700558
Enrollment ID: I20150407000907
Provider NameSarah D Skaggs
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1083015184
PECOS PAC ID: 1456664226
Enrollment ID: I20150722005563
Provider NameNicole A Radabaugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003203316
PECOS PAC ID: 9032425012
Enrollment ID: I20150908000166
Provider NameJennifer Ellen Truman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922468529
PECOS PAC ID: 5890084685
Enrollment ID: I20160518000784
Provider NameArrettia Jane Bush
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295179539
PECOS PAC ID: 3678879723
Enrollment ID: I20161025000000
Provider NameKimberly Jo Groves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992155832
PECOS PAC ID: 2163702440
Enrollment ID: I20161201002107
Provider NameMisty James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891236873
PECOS PAC ID: 0941579940
Enrollment ID: I20170707000274
Provider NameAnna Philpott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184147522
PECOS PAC ID: 4789940651
Enrollment ID: I20171108003419
Provider NameDaonna A Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285128272
PECOS PAC ID: 8628329620
Enrollment ID: I20181001000639
Provider NameMatthew D Fratczak
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1518451293
PECOS PAC ID: 2163766353
Enrollment ID: I20181128002342
Provider NameSeth Nathaniel Hamrick
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1861049686
PECOS PAC ID: 6709216070
Enrollment ID: I20200429001019
Provider NameHolly Fitzwater
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932752078
PECOS PAC ID: 3577984731
Enrollment ID: I20200527000648
Provider NameTricia Dawn Simpkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386242600
PECOS PAC ID: 8921417361
Enrollment ID: I20210514000662
Provider NameSean Patrick Marshall Riley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548867997
PECOS PAC ID: 3476952540
Enrollment ID: I20210521000347
Provider NameHeather Dawn Glasko-tully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003489808
PECOS PAC ID: 1850782384
Enrollment ID: I20211216002834
Provider NamePaula Michelle Brammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346599313
PECOS PAC ID: 8820462740
Enrollment ID: I20230316000384
Provider NameToshua Dainelle Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952931842
PECOS PAC ID: 8729430111
Enrollment ID: I20240122002851
Provider NameElizabeth Antoinette Brooke
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659894509
PECOS PAC ID: 9133481898
Enrollment ID: I20240401003100

Reviews and Comments


Clinic/Center in Summersville, WV

Camden On Gauley Medical Center Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 477 Scenic Hwy, Summersville, WV 26651
Phone: 304-226-5725    Fax: 304-226-3274
Fairview Health Associates Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651
Phone: 304-872-5090    Fax: 304-872-0636
Summersville Regional Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651
Phone: 304-872-8402    Fax: 304-872-6854
New River Health - Summersville
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 315 Fairview Heights Rd, Summersville, WV 26651
Phone: 304-469-2905    Fax: 304-465-5486
Professional Medical Ultrasonics Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4089 Webster Rd Suite 5, Summersville, WV 26651
Phone: 304-872-8396    
Summersville Family Medicine Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651
Phone: 304-645-4043    
Camden Family Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 415 Main St, Summersville, WV 26651
Phone: 304-226-5725    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.