| Monroe Health Center | |
|
200 Health Center Drive Union WV 24983 | |
| (304) 772-3064 | |
| (304) 772-3296 |
| Full Name | Monroe Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Health Center Drive, Union, West Virginia |
| Authorized Official Name and Position | Shannon Parker (CEO) |
| Authorized Official Contact | 3047723064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Health Center 200 Health Center Drive Po Box 590 Union WV 24983 Ph: (304) 772-3064 | Monroe Health Center 200 Health Center Drive Union WV 24983 Ph: (304) 772-3064 |
| NPI Number | 1992734487 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 02/10/2011 |
| Medicare PECOS PAC ID | 3173432671 |
|---|---|
| Medicare Enrollment ID | O20040330001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992734487 | NPI | - | NPPES |
| 0035243000 | Medicaid | WV | |
| 001706775 | Other | WV | BC/BS |
| 5611053 | Other | WV | AETNA |
| DB2513 | Other | WV | MEDICARE RR GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
| Provider Name | Steven K Jameson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124019880 PECOS PAC ID: 9739172511 Enrollment ID: I20040407000158 |
| Provider Name | Jayne Ladier Canterbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760433254 PECOS PAC ID: 7012900806 Enrollment ID: I20040407000228 |
| Provider Name | Sophia A Sibold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366440661 PECOS PAC ID: 3476502964 Enrollment ID: I20050315000160 |
| Provider Name | John T Hansbarger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316922933 PECOS PAC ID: 3870515216 Enrollment ID: I20051228000472 |
| Provider Name | Marie B Fearon Jewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134108210 PECOS PAC ID: 5799774949 Enrollment ID: I20080403000307 |
| Provider Name | Elizabeth A Jennings |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1619041738 PECOS PAC ID: 6709045131 Enrollment ID: I20120305000438 |
| Provider Name | John C Terry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265415731 PECOS PAC ID: 1456330729 Enrollment ID: I20120913000243 |
| Provider Name | Robin L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992052823 PECOS PAC ID: 7810137924 Enrollment ID: I20130715000381 |
| Provider Name | Jennifer Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386956100 PECOS PAC ID: 4385887850 Enrollment ID: I20130830000744 |
| Provider Name | Katrina A Shires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763282 PECOS PAC ID: 0345477279 Enrollment ID: I20131220000290 |
| Provider Name | Alicia M Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891004156 PECOS PAC ID: 4082970223 Enrollment ID: I20171103002799 |
| Provider Name | Jessica Pitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386297364 PECOS PAC ID: 5597096792 Enrollment ID: I20201112000959 |
| Provider Name | Ellen Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164916300 PECOS PAC ID: 1456691518 Enrollment ID: I20201208000507 |
| Provider Name | Kevin Wayne Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396245494 PECOS PAC ID: 4981940699 Enrollment ID: I20220504001809 |
| Provider Name | Carrie Lee Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790045680 PECOS PAC ID: 3173991932 Enrollment ID: I20221129000867 |
| Provider Name | Brooke Fulscher Modlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528748464 PECOS PAC ID: 2264886175 Enrollment ID: I20230926004467 |
| Provider Name | Candice Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316546047 PECOS PAC ID: 9436506573 Enrollment ID: I20231109003648 |
| Provider Name | Deborah Carol Nolley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194713446 PECOS PAC ID: 9739176116 Enrollment ID: I20240425003222 |
Gelderman Medical Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 South Dunlap Street, Union, WV 24983 Phone: 304-772-3211 Fax: 304-772-4991 | |
Mountain View Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 School St, Mt View, Union, WV 24983 Phone: 304-772-4580 | |
Monroe Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Health Center Drive, Union, WV 24983 Phone: 304-772-3064 Fax: 304-772-3296 | |
Monroe Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Health Center Dr, Union, WV 24983 Phone: 304-772-3064 Fax: 304-772-3296 | |
Monroe Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Health Center Dr, Union, WV 24983 Phone: 304-772-3064 Fax: 304-772-3296 |