| Charleston Family Practice Group | |
|
1220 Lee St E Ste 201 Charleston WV 25301-1864 | |
| (304) 342-8513 | |
| (304) 342-8147 |
| Full Name | Charleston Family Practice Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 Lee St E Ste 201, Charleston, West Virginia |
| Authorized Official Name and Position | Malcolm L. Chaney (PRESIDENT) |
| Authorized Official Contact | 3043428513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Family Practice Group 1220 Lee St E Ste 201 Charleston WV 25301-1864 Ph: (304) 342-8513 | Charleston Family Practice Group 1220 Lee St E Ste 201 Charleston WV 25301-1864 Ph: (304) 342-8513 |
| NPI Number | 1750310280 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 02/27/2020 |
| Medicare PECOS PAC ID | 5597737635 |
|---|---|
| Medicare Enrollment ID | O20040810000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750310280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11909 (West Virginia) | Primary |
| Provider Name | Robert Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345971 PECOS PAC ID: 3173565512 Enrollment ID: I20050526000004 |
| Provider Name | Kelly Mcminn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891977211 PECOS PAC ID: 3173668878 Enrollment ID: I20100305000478 |
| Provider Name | John Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982618690 PECOS PAC ID: 9234325473 Enrollment ID: I20101130000415 |
| Provider Name | Heather L. Saulino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567563 PECOS PAC ID: 0042536872 Enrollment ID: I20150313000361 |
| Provider Name | Bria D Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205209475 PECOS PAC ID: 3678877818 Enrollment ID: I20160208001725 |
| Provider Name | Amber Louise Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275063604 PECOS PAC ID: 3274805106 Enrollment ID: I20170828000518 |
| Provider Name | Stephanie Shamma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629690037 PECOS PAC ID: 4183055403 Enrollment ID: I20200520001547 |
Capitol United Support Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Quarrier St, Suite 213, Charleston, WV 25301 Phone: 304-410-9442 | |
Valley Health Systems, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 864 Oakwood Rd, Charleston, WV 25314 Phone: 304-343-2807 Fax: 304-525-3338 | |
Charleston Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3701 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-720-2345 Fax: 304-720-2347 | |
Kceaa Health And Wellness Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Brooks St, Charleston, WV 25301 Phone: 304-346-8877 Fax: 304-414-5218 | |
Cabin Creek Health Center, Inc. At Kchd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Lee St E, Charleston, WV 25301 Phone: 304-734-2040 Fax: 304-734-2047 | |
Valley Health Systems, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Laidley St Fl 6, Charleston, WV 25301 Phone: 304-347-6500 Fax: 304-525-3338 | |
Hope For Tomorrow, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2152 Greenbrier St, Charleston, WV 25311 Phone: 304-857-6494 Fax: 214-850-9018 |