| Southern West Virginia Primary Care Inc | |
|
321 Dry Hill Rd Beckley WV 25801-2601 | |
| (304) 250-0142 | |
| Not Available |
| Full Name | Southern West Virginia Primary Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 Dry Hill Rd, Beckley, West Virginia |
| Authorized Official Name and Position | James Brandon Smith (OWNER) |
| Authorized Official Contact | 3042500142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern West Virginia Primary Care Inc 321 Dry Hill Rd Beckley WV 25801-2601 Ph: (304) 250-0142 | Southern West Virginia Primary Care Inc 321 Dry Hill Rd Beckley WV 25801-2601 Ph: (304) 250-0142 |
| NPI Number | 1598147431 |
|---|---|
| Provider Enumeration Date | 06/28/2015 |
| Last Update Date | 06/28/2015 |
| Medicare PECOS PAC ID | 9830408376 |
|---|---|
| Medicare Enrollment ID | O20151022002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598147431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23171147 (West Virginia) | Primary |
| Provider Name | Tonia M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225144603 PECOS PAC ID: 8022914217 Enrollment ID: I20031209000719 |
| Provider Name | Joseph Wayne Morrello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205063906 PECOS PAC ID: 4385893635 Enrollment ID: I20121003000009 |
| Provider Name | James B Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942493622 PECOS PAC ID: 9638488182 Enrollment ID: I20151022002496 |
| Provider Name | Whitney Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221075 PECOS PAC ID: 7012269889 Enrollment ID: I20181004002622 |
| Provider Name | Rachel R Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841869526 PECOS PAC ID: 8123424900 Enrollment ID: I20210901004050 |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Ct, Beckley, WV 25801 Phone: 304-929-6020 | |
Beckley-uha Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Carriage Dr, Beckley, WV 25801 Phone: 304-255-1544 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Beckley, WV 25801 Phone: 800-268-7713 Fax: 415-704-3294 | |
Community Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 S Fayette St, Beckley, WV 25801 Phone: 304-256-4604 | |
New River Health Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1804 Harper Rd Ste A, Beckley, WV 25801 Phone: 304-469-2905 | |
Gastroenterology Of Southern Wv Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1844 Harper Rd, Beckley, WV 25801 Phone: 304-250-0307 Fax: 304-250-0384 | |
Community Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Bill Barker Way, Beckley, WV 25801 Phone: 304-252-8324 |