| Familycare Health Center - Hurricane | |
|
3911 Teays Valley Rd Hurricane WV 25526-9604 | |
| (304) 757-4845 | |
| Not Available |
| Full Name | Familycare Health Center - Hurricane |
|---|---|
| Speciality | Clinic/Center |
| Location | 3911 Teays Valley Rd, Hurricane, West Virginia |
| Authorized Official Name and Position | Julie Dianne Ray (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3047576999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familycare Health Center - Hurricane 97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 Ph: (304) 757-6999 | Familycare Health Center - Hurricane 3911 Teays Valley Rd Hurricane WV 25526-9604 Ph: (304) 757-4845 |
| NPI Number | 1962045948 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 4587568134 |
|---|---|
| Medicare Enrollment ID | O20220526002680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962045948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Randall A Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255395273 PECOS PAC ID: 8729986658 Enrollment ID: I20031230000073 |
| Provider Name | Linda Kessinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487634275 PECOS PAC ID: 1153210802 Enrollment ID: I20040311001181 |
| Provider Name | Leon Ronen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063577 PECOS PAC ID: 8820047202 Enrollment ID: I20050113000225 |
| Provider Name | Kimberley Barracco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700984366 PECOS PAC ID: 7012915416 Enrollment ID: I20061120000105 |
| Provider Name | Marsha L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548316573 PECOS PAC ID: 0143322248 Enrollment ID: I20070220000558 |
| Provider Name | Mary J Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295953065 PECOS PAC ID: 5597856559 Enrollment ID: I20070806000094 |
| Provider Name | Mary B Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225017874 PECOS PAC ID: 9032283080 Enrollment ID: I20080808000478 |
| Provider Name | Angela B Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366420614 PECOS PAC ID: 3971652918 Enrollment ID: I20090521000109 |
| Provider Name | Virginia Michelle Selanik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881664936 PECOS PAC ID: 6204985930 Enrollment ID: I20090528000471 |
| Provider Name | Dawn L Grigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114150398 PECOS PAC ID: 1951449222 Enrollment ID: I20091105000558 |
| Provider Name | Stephanie D Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619286796 PECOS PAC ID: 6800036229 Enrollment ID: I20130709000201 |
| Provider Name | Hannah R Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524323 PECOS PAC ID: 2668722711 Enrollment ID: I20180911001869 |
| Provider Name | Megan Lerae Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902376601 PECOS PAC ID: 0345589941 Enrollment ID: I20190226001568 |
| Provider Name | Chelse Raye Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370676 PECOS PAC ID: 9032447685 Enrollment ID: I20190821001608 |
| Provider Name | Trena Lynn Kish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558531368 PECOS PAC ID: 3678909892 Enrollment ID: I20200207000180 |
| Provider Name | Taucha Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790300366 PECOS PAC ID: 7315363264 Enrollment ID: I20200821002612 |
| Provider Name | Tanya Renee Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083216287 PECOS PAC ID: 1153738794 Enrollment ID: I20210329000650 |
| Provider Name | Curtis Kevin Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770145435 PECOS PAC ID: 2769899160 Enrollment ID: I20210331002843 |
| Provider Name | Rebekah Rae Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942967013 PECOS PAC ID: 8325426653 Enrollment ID: I20220527001232 |
| Provider Name | Tonya L Vannatter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205310943 PECOS PAC ID: 5496127284 Enrollment ID: I20230203000863 |
| Provider Name | Cassandra Connelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437871035 PECOS PAC ID: 0941673016 Enrollment ID: I20230310001879 |
| Provider Name | Angel Cunningham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932756269 PECOS PAC ID: 7315312766 Enrollment ID: I20230417002148 |
| Provider Name | Courtney Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609437896 PECOS PAC ID: 1456717859 Enrollment ID: I20230509001874 |
| Provider Name | Neil Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295115913 PECOS PAC ID: 1052622123 Enrollment ID: I20230530002033 |
| Provider Name | Carrie Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841441771 PECOS PAC ID: 3173712155 Enrollment ID: I20240508000392 |
Dr. Rick L Houdersheldt, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 Teays Valley Rd, Suite 202, Hurricane, WV 25526 Phone: 304-757-6990 Fax: 304-757-0912 | |
Familycare Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-760-6336 Fax: 855-332-4024 | |
John M Clark Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3860 Teays Valley Rd Ste 4, Hurricane, WV 25526 Phone: 304-201-2545 Fax: 304-201-2548 | |
Emergi-care,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-8683 Fax: 304-757-8684 | |
Valley Health Hurricane Ffs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3729 Teays Valley Rd, Suite 100, Hurricane, WV 25526 Phone: 304-760-6040 Fax: 304-697-2086 | |
Valley Health Teays Valley - Ffs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-8683 Fax: 304-757-8684 | |
Putnam Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Suite B Teays Valley Rd, Hurricane, WV 25526 Phone: 304-760-6040 Fax: 304-760-6042 |