| Spring Hill Primary Care Physicians Pllc | |
|
707 Chestnut St South Charleston WV 25309-2003 | |
| (304) 768-8500 | |
| (304) 768-8530 |
| Full Name | Spring Hill Primary Care Physicians Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 707 Chestnut St, South Charleston, West Virginia |
| Authorized Official Name and Position | Christopher Cleveland Skaggs (MANAGING PARTNER) |
| Authorized Official Contact | 3047688500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Hill Primary Care Physicians Pllc 707 Chestnut St South Charleston WV 25309-2003 Ph: (304) 768-8500 | Spring Hill Primary Care Physicians Pllc 707 Chestnut St South Charleston WV 25309-2003 Ph: (304) 768-8500 |
| NPI Number | 1306811781 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 11/16/2012 |
| Medicare PECOS PAC ID | 7810932951 |
|---|---|
| Medicare Enrollment ID | O20050621000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306811781 | NPI | - | NPPES |
| 0009984000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | (West Virginia) | Primary |
| Provider Name | Chad Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245204510 PECOS PAC ID: 1052344306 Enrollment ID: I20050916000149 |
| Provider Name | Christopher C Skaggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739476 PECOS PAC ID: 3173533288 Enrollment ID: I20060503000252 |
| Provider Name | Joshua H Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689899510 PECOS PAC ID: 0547311466 Enrollment ID: I20090706000171 |
| Provider Name | Dina Marie Criniti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063486942 PECOS PAC ID: 9830288570 Enrollment ID: I20100812000171 |
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