Envision Medical Care, Llc | |
111 Court St S Ste B Ripley WV 25271-1408 | |
(304) 372-1030 | |
Not Available |
Full Name | Envision Medical Care, Llc |
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Speciality | Family Medicine |
Location | 111 Court St S Ste B, Ripley, West Virginia |
Authorized Official Name and Position | J Clay (CEO) |
Authorized Official Contact | 3043721030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Envision Medical Care, Llc 111 Court St S Ste B Ripley WV 25271-1408 Ph: (304) 372-1030 | Envision Medical Care, Llc 111 Court St S Ste B Ripley WV 25271-1408 Ph: (304) 372-1030 |
NPI Number | 1194338244 |
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Provider Enumeration Date | 08/28/2020 |
Last Update Date | 12/02/2021 |
Medicare PECOS PAC ID | 3971901836 |
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Medicare Enrollment ID | O20230126000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194338244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
Provider Name | Angela D Crowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588021836 PECOS PAC ID: 4688943764 Enrollment ID: I20170705001964 |
Provider Name | Jami Kay Clay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326526807 PECOS PAC ID: 1052657665 Enrollment ID: I20190117002588 |
Provider Name | Allison Ashley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497394290 PECOS PAC ID: 8820446933 Enrollment ID: I20231130001332 |
Provider Name | Debora Lynn Wells |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699864793 PECOS PAC ID: 2163820093 Enrollment ID: I20231221003067 |
Brandon Cestaric Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 62a, Ripley, WV 25271 Phone: 304-373-0280 Fax: 304-373-0281 | |
James Gaal Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Pinnell St, Ripley, WV 25271 Phone: 304-372-4402 | |
Main Street Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Main St W, Ripley, WV 25271 Phone: 304-372-8088 |