| Community Care Of Marlinton | |
|
821 3rd Ave Marlinton WV 24954-1015 | |
| (304) 799-4404 | |
| (304) 799-4425 |
| Full Name | Community Care Of Marlinton |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 3rd Ave, Marlinton, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of Marlinton Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262 | Community Care Of Marlinton 821 3rd Ave Marlinton WV 24954-1015 Ph: (304) 799-4404 |
| NPI Number | 1164653457 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20071024000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164653457 | NPI | - | NPPES |
| 3810016995 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | Richard T Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184855819 PECOS PAC ID: 4183652332 Enrollment ID: I20050729000579 |
| Provider Name | Jennifer A Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739464 PECOS PAC ID: 4688678519 Enrollment ID: I20060908000049 |
| Provider Name | Victoria M Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164491056 PECOS PAC ID: 0547267809 Enrollment ID: I20061030000045 |
| Provider Name | Angela Gfayle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
| Provider Name | Lesley Ann Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497936173 PECOS PAC ID: 6800971268 Enrollment ID: I20080310000142 |
| 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 | Tracie F Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679709554 PECOS PAC ID: 5799838959 Enrollment ID: I20090805000480 |
| Provider Name | Chris Neil Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326225350 PECOS PAC ID: 7214082551 Enrollment ID: I20090910000027 |
| Provider Name | Erin N King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528368248 PECOS PAC ID: 2264620715 Enrollment ID: I20101228000061 |
| 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 | 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 | Julie A Haddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033452552 PECOS PAC ID: 1456599646 Enrollment ID: I20130529000853 |
| 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 | Stephanie H Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376972422 PECOS PAC ID: 7214240027 Enrollment ID: I20150723006972 |
| Provider Name | Brandy N Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457710543 PECOS PAC ID: 1557660545 Enrollment ID: I20160426000156 |
| Provider Name | Matya B Drennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901243 PECOS PAC ID: 3072812817 Enrollment ID: I20160429001048 |
| Provider Name | Autumn L Lemley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992149223 PECOS PAC ID: 5991001141 Enrollment ID: I20160630002278 |
| Provider Name | Jina J Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912359969 PECOS PAC ID: 1355638487 Enrollment ID: I20160916002254 |
| Provider Name | Katherine R Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538693932 PECOS PAC ID: 7810266640 Enrollment ID: I20170710002177 |
| Provider Name | Yvonne Marie Staschiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932625597 PECOS PAC ID: 4688949761 Enrollment ID: I20170929002223 |
| Provider Name | Nathaniel Shay Linger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942656400 PECOS PAC ID: 3173814027 Enrollment ID: I20190612001944 |
| Provider Name | Ashley Renee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634567 PECOS PAC ID: 4183054190 Enrollment ID: I20200415000487 |
| Provider Name | Torie A Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132104 PECOS PAC ID: 0345665345 Enrollment ID: I20200807002520 |
| Provider Name | Andrea Jo Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164039061 PECOS PAC ID: 2264852409 Enrollment ID: I20201009000133 |
| Provider Name | Kristen Nicole Withers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591015 PECOS PAC ID: 8325443633 Enrollment ID: I20210825001718 |
| Provider Name | Katelyn Elizabeth Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598407595 PECOS PAC ID: 2062899446 Enrollment ID: I20220525000219 |
| Provider Name | Donald Quintin Brubaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932668852 PECOS PAC ID: 3274914056 Enrollment ID: I20220726001121 |
| Provider Name | Denzil Willard Hawkinberry |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1376644401 PECOS PAC ID: 0345205340 Enrollment ID: I20221219000160 |
| Provider Name | Anne Abram Jarrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639798408 PECOS PAC ID: 6103241260 Enrollment ID: I20230721002799 |
| Provider Name | Seth Michael Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285312769 PECOS PAC ID: 2163883570 Enrollment ID: I20230802000629 |
| Provider Name | Emilie M Transue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699339481 PECOS PAC ID: 3072842723 Enrollment ID: I20230821000287 |
| Provider Name | Melany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851914105 PECOS PAC ID: 5193172005 Enrollment ID: I20231115001393 |
| Provider Name | Abbie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003307588 PECOS PAC ID: 5395084198 Enrollment ID: I20231226000009 |
| Provider Name | Denise Noel Ammons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962569491 PECOS PAC ID: 8325365232 Enrollment ID: I20231226001699 |
| Provider Name | Roberta Jo Simons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275245367 PECOS PAC ID: 2264883388 Enrollment ID: I20240112001407 |
| Provider Name | Frances Lilly Heater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790560332 PECOS PAC ID: 6901242072 Enrollment ID: I20240312000188 |
| Provider Name | Jami Laughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255803011 PECOS PAC ID: 4486091584 Enrollment ID: I20240325003879 |
| Provider Name | Aniela Sharee Settle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013694652 PECOS PAC ID: 6507204872 Enrollment ID: I20240404004310 |
| Provider Name | Barbara Ballash |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1538517354 PECOS PAC ID: 4688572381 Enrollment ID: I20240410001650 |
Marlinton Middle School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 2, Box 52s, Marlinton, WV 24954 Phone: 304-799-6773 Fax: 304-799-7278 | |
Sarita L Bennett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt 2 Box 386, Marlinton, WV 24954 Phone: 304-799-0011 Fax: 304-799-0035 | |
Marlinton Elementary School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 926a 5th Ave, Marlinton, WV 24954 Phone: 304-799-6551 Fax: 304-799-6552 | |
Pocahontas Medical Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Duncan Road, Marlinton, WV 24954 Phone: 304-799-4645 Fax: 304-799-7314 | |
Pocahontas County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 10th Ave, Marlinton, WV 24954 Phone: 304-799-4154 Fax: 304-799-7490 |