| Mingo County Family Wellness Center Llc | |
|
872 Route 65 Williamson WV 25661-7497 | |
| (304) 475-3700 | |
| (304) 475-3780 |
| Full Name | Mingo County Family Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 872 Route 65, Williamson, West Virginia |
| Authorized Official Name and Position | Aimee Michelle Colegrove (PRESIDENT/HEALTHCARE PROVIDER) |
| Authorized Official Contact | 3044753700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mingo County Family Wellness Center Llc 872 Route 65 Williamson WV 25661-7497 Ph: (304) 475-3700 | Mingo County Family Wellness Center Llc 872 Route 65 Williamson WV 25661-7497 Ph: (304) 475-3700 |
| NPI Number | 1801283882 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 9133449549 |
|---|---|
| Medicare Enrollment ID | O20150527001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801283882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Aimee M Colegrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245666817 PECOS PAC ID: 1850522863 Enrollment ID: I20140314001285 |
| Provider Name | Ashley Ledson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465271 PECOS PAC ID: 9436585940 Enrollment ID: I20200131001553 |
Leo P. Pajarillo, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 College Hl, Williamson, WV 25661 Phone: 304-235-5225 Fax: 304-235-5282 | |
G I Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Logan St, Ste 22, Williamson, WV 25661 Phone: 304-235-1214 | |
Williamson Health & Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 E 2nd Ave Ste 1, Williamson, WV 25661 Phone: 304-236-5902 Fax: 304-235-8559 | |
Williamson Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Alderson St, Williamson, WV 25661 Phone: 304-235-2500 Fax: 304-235-0538 | |
Tug Valley Digestive Disorder Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Logan St, Ste 42, Williamson, WV 25661 Phone: 304-235-3590 Fax: 304-235-3592 | |
Williamson Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Alderson St, Williamson, WV 25661 Phone: 304-235-0466 Fax: 304-235-0536 | |
Williamson Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 E 2nd Ave Ste 1, Williamson, WV 25661 Phone: 304-235-2930 Fax: 304-235-2933 |