| Smoky Mountain Emergency Services, Inc. | |
|
1 Pavilion Dr Daniels WV 25832-9705 | |
| (304) 763-2888 | |
| Not Available |
| Full Name | Smoky Mountain Emergency Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Pavilion Dr, Daniels, West Virginia |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Mountain Emergency Services, Inc. Po Box 634711 Cincinnati OH 45263-4711 Ph: () - | Smoky Mountain Emergency Services, Inc. 1 Pavilion Dr Daniels WV 25832-9705 Ph: (304) 763-2888 |
| NPI Number | 1275551731 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 1951373067 |
|---|---|
| Medicare Enrollment ID | O20050824000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275551731 | NPI | - | NPPES |
| 4005133000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Robert Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972546794 PECOS PAC ID: 8729040977 Enrollment ID: I20041029000716 |
| Provider Name | Robin A Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196077 PECOS PAC ID: 5193124246 Enrollment ID: I20210524000761 |
| Provider Name | Halie Brooke Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679346274 PECOS PAC ID: 2466804596 Enrollment ID: I20240114000187 |
| Provider Name | Suenette Lynn Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255194361 PECOS PAC ID: 0446444244 Enrollment ID: I20240509001563 |
Community Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 4h Lake Rd, Daniels, WV 25832 Phone: 681-238-0644 | |
Access Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2157 Ritter Dr, Daniels, WV 25832 Phone: 304-763-4326 Fax: 304-763-4581 | |
Prompt Care Plus, Mc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1334 Ritter Dr, Unit 4, Daniels, WV 25832 Phone: 304-252-3711 Fax: 304-252-0721 | |
Coal Country Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 C And O Dam Rd, Daniels, WV 25832 Phone: 304-763-0199 Fax: 304-763-2137 |