Huntington Behavioral Health | |
1415 6th Ave Huntington WV 25701-2420 | |
(304) 523-1142 | |
(304) 523-2966 |
Full Name | Huntington Behavioral Health |
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Speciality | Clinic/Center |
Location | 1415 6th Ave, Huntington, West Virginia |
Authorized Official Name and Position | Rachel Blankenship (OFFICE MANAGER) |
Authorized Official Contact | 6814642001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Huntington Behavioral Health 5044 Newcomb Creek Rd Huntington WV 25704-9704 Ph: (304) 638-8329 | Huntington Behavioral Health 1415 6th Ave Huntington WV 25701-2420 Ph: (304) 523-1142 |
NPI Number | 1558430637 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Medicare PECOS PAC ID | 5193637734 |
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Medicare Enrollment ID | O20031103000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558430637 | NPI | - | NPPES |
1558430637 | Medicaid | WV | |
7100935100 | Medicaid | KY | |
0441257 | Medicaid | OH |
Provider Name | Phillip R Spangler |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205897402 PECOS PAC ID: 9032017645 Enrollment ID: I20031220000067 |
Provider Name | Kelly Michelle-reffitt Carte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699268896 PECOS PAC ID: 0648521799 Enrollment ID: I20180928001056 |
Provider Name | Paul Edmond Cowsar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245488410 PECOS PAC ID: 9032141106 Enrollment ID: I20181113002621 |
Provider Name | Rebecca Lynn Derossett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194375576 PECOS PAC ID: 3577895242 Enrollment ID: I20191030000092 |
Provider Name | Vanessa Mathieu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346547023 PECOS PAC ID: 9739332727 Enrollment ID: I20210312002371 |
Provider Name | Michael Starr |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902157688 PECOS PAC ID: 5395151526 Enrollment ID: I20230310000751 |
Provider Name | Rebecca Howard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902448657 PECOS PAC ID: 2961866777 Enrollment ID: I20230913000435 |
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