| South Charleston Primary Care Associates | |
|
312 6th Ave Suite 3 South Charleston WV 25303-1242 | |
| (304) 744-4532 | |
| (304) 744-3219 |
| Full Name | South Charleston Primary Care Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 312 6th Ave, South Charleston, West Virginia |
| Authorized Official Name and Position | Tammy Sue King (OFFICE MANAGER) |
| Authorized Official Contact | 3047444532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Charleston Primary Care Associates 312 6th Ave Suite 3 South Charleston WV 25303-1242 Ph: (304) 744-4532 | South Charleston Primary Care Associates 312 6th Ave Suite 3 South Charleston WV 25303-1242 Ph: (304) 744-4532 |
| NPI Number | 1457449761 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 11/11/2013 |
| Medicare PECOS PAC ID | 1153348677 |
|---|---|
| Medicare Enrollment ID | O20051024001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457449761 | NPI | - | NPPES |
| 0009405000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10611 (West Virginia) | Primary |
| Provider Name | Richard D Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568420586 PECOS PAC ID: 2062439581 Enrollment ID: I20120209000018 |
Neveah Health & Wellness Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 538 3rd Avenue, South Charleston, WV 25303 Phone: 304-362-9883 Fax: 304-362-9881 | |
New Beginnings Drug Treatment Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-720-4444 Fax: 646-839-2999 | |
Hospitalist Medicine Physicians Of Kanawha County, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 330-493-4443 Fax: 330-493-8677 | |
Associated Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-720-6735 Fax: 304-720-6737 | |
Crystal Bastin Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4820 Kentucky St, South Charleston, WV 25309 Phone: 304-720-0390 | |
Integrated Health Care Providers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Rhl, Suite 3, South Charleston, WV 25309 Phone: 304-388-7010 Fax: 304-388-7015 | |
Michael Sitler, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Creekstone Rdg, South Charleston, WV 25309 Phone: 304-756-1492 |