West Milford Elementary School Wellness Center | |
226 School St West Milford WV 26451-9700 | |
(304) 326-7030 | |
(304) 745-4488 |
Full Name | West Milford Elementary School Wellness Center |
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Speciality | Clinic/Center |
Location | 226 School St, West Milford, West Virginia |
Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3045615319 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Milford Elementary School Wellness Center 226 School St West Milford WV 26451-9700 Ph: (304) 326-7030 | West Milford Elementary School Wellness Center 226 School St West Milford WV 26451-9700 Ph: (304) 326-7030 |
NPI Number | 1821349309 |
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Provider Enumeration Date | 09/25/2012 |
Last Update Date | 03/21/2019 |
Medicare PECOS PAC ID | 0446232987 |
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Medicare Enrollment ID | O20130226000532 |
Identifier | Type | State | Issuer |
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1821349309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2273-9509 (West Virginia) | Primary |
Provider Name | Sarah Chouinard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023087954 PECOS PAC ID: 0042118127 Enrollment ID: I20031229000189 |
Provider Name | Christine L Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801865290 PECOS PAC ID: 6406824572 Enrollment ID: I20040923000906 |
Provider Name | Jennifer A Lambert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790739464 PECOS PAC ID: 4688678519 Enrollment ID: I20060908000049 |
Provider Name | Angela Gfayle Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
Provider Name | Lesley Ann Groves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497936173 PECOS PAC ID: 6800971268 Enrollment ID: I20080310000142 |
Provider Name | Raymond Patrick Leonard |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376769984 PECOS PAC ID: 7810068764 Enrollment ID: I20080619000753 |
Provider Name | Aimee Michelle Whitehair |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003093097 PECOS PAC ID: 9335217363 Enrollment ID: I20081004000001 |
Provider Name | Kelly W Dunavant |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609047109 PECOS PAC ID: 9335202803 Enrollment ID: I20090108000795 |
Provider Name | Chris Neil Kennedy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326225350 PECOS PAC ID: 7214082551 Enrollment ID: I20090910000027 |
Provider Name | Gregory M Peters |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033351234 PECOS PAC ID: 1759566599 Enrollment ID: I20110421000221 |
Provider Name | Genevieve F Dunn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861708513 PECOS PAC ID: 5597924175 Enrollment ID: I20120319000205 |
Provider Name | Iris Mae Canete Trinidad Carillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386873024 PECOS PAC ID: 3375791726 Enrollment ID: I20120910000910 |
Provider Name | Joshua S Abbott |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1891041406 PECOS PAC ID: 0648422030 Enrollment ID: I20121211000330 |
Provider Name | Laura E Abbott |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1093061608 PECOS PAC ID: 4082866470 Enrollment ID: I20121211000351 |
Provider Name | Kimberly Renee Becher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528351863 PECOS PAC ID: 4385883065 Enrollment ID: I20140807001149 |
Provider Name | Melissa Shockey Dodrill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871887349 PECOS PAC ID: 5991923963 Enrollment ID: I20140904001927 |
Provider Name | Autumn L Lemley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992149223 PECOS PAC ID: 5991001141 Enrollment ID: I20160630002278 |
Community Care Of West Milford Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 597 Liberty St, West Milford, WV 26451 Phone: 304-745-4568 Fax: 304-326-3700 |