| New River Health - Scarbro | |
|
908 Scarbro Road Scarbro WV 25917 | |
| (304) 469-2905 | |
| (304) 465-5486 |
| Full Name | New River Health - Scarbro |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 Scarbro Road, Scarbro, West Virginia |
| Authorized Official Name and Position | John R. Schultz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3044692905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Health - Scarbro 497 Mall Rd Oak Hill WV 25901-6216 Ph: (304) 469-2905 | New River Health - Scarbro 908 Scarbro Road Scarbro WV 25917 Ph: (304) 469-2905 |
| NPI Number | 1811983331 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2365348596 |
|---|---|
| Medicare Enrollment ID | O20071009000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811983331 | NPI | - | NPPES |
| 0035165000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1036-9138 (West Virginia) | Primary |
| Provider Name | Christopher Grose |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740348234 PECOS PAC ID: 6608763149 Enrollment ID: I20051101000983 |
| Provider Name | James M Kyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306813704 PECOS PAC ID: 5799785796 Enrollment ID: I20090819000504 |
| Provider Name | Jerry L Pennington |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568655413 PECOS PAC ID: 0840337481 Enrollment ID: I20091030000097 |
| Provider Name | Kerri Elizabeth White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427113299 PECOS PAC ID: 1557547668 Enrollment ID: I20110525000172 |
| Provider Name | Lora Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700213436 PECOS PAC ID: 8325261308 Enrollment ID: I20140520000996 |
| Provider Name | Jeremiah David Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023257599 PECOS PAC ID: 9931233129 Enrollment ID: I20161017000499 |
| Provider Name | Joel R Whitaker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568425874 PECOS PAC ID: 0547540510 Enrollment ID: I20161208001127 |
| Provider Name | Rebecca Dilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831508951 PECOS PAC ID: 7214279850 Enrollment ID: I20190430001962 |
| Provider Name | Amity L Boblits |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780650416 PECOS PAC ID: 4486066263 Enrollment ID: I20201221000317 |
| Provider Name | Brittney Nicole Menei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942892120 PECOS PAC ID: 6800202995 Enrollment ID: I20210316001365 |
| Provider Name | Leisa Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760927271 PECOS PAC ID: 1557694924 Enrollment ID: I20210712003391 |
| Provider Name | Lisa Perdue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922544097 PECOS PAC ID: 5294097440 Enrollment ID: I20210715000767 |
| Provider Name | Joseph Allen Douglas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992231674 PECOS PAC ID: 5496147001 Enrollment ID: I20220111001944 |
| Provider Name | Cassandra Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952187486 PECOS PAC ID: 6103272240 Enrollment ID: I20231026001752 |
New River Health Womens Health And Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Sutphin Ln, Scarbro, WV 25917 Phone: 304-469-3345 Fax: 304-469-2981 |