- Medicare Primary Care in Salt Rock, WV

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Salt Rock, West Virginia. The current practice location for is 5490 State Route 10, Salt Rock, West Virginia. For appointments, you can reach them via phone at (304) 824-5806. The mailing address for is 7400 Lynn Ave, Hamlin, West Virginia and phone number is (304) 824-5806.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942509856. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 824-5806.

Contact Information

5490 State Route 10
Salt Rock
WV 25559-9736
(304) 824-5806
(304) 824-5804

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location5490 State Route 10, Salt Rock, West Virginia
Authorized Official Name and PositionLisa Leach (CEO)
Authorized Official Contact3048245806
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

7400 Lynn Ave
Hamlin
WV 25523-1138

Ph: (304) 824-5806
5490 State Route 10
Salt Rock
WV 25559-9736

Ph: (304) 824-5806

NPI Details:

NPI Number1942509856
Provider Enumeration Date03/17/2011
Last Update Date03/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6204821879
Medicare Enrollment IDO20110629000026

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942509856NPI-NPPES
3810021856MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLaura Mae Given
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992230262
PECOS PAC ID: 0143598656
Enrollment ID: I20200722000990

Reviews and Comments


Clinic/Center in Salt Rock, WV


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.