| Ridgeline Services | |
|
2162 Childress Road Alum Creek WV 25003 | |
| (304) 745-7837 | |
| (360) 242-5842 |
| Full Name | Ridgeline Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2162 Childress Road, Alum Creek, West Virginia |
| Authorized Official Name and Position | Gregory Zornes (PRESIDENT/OWNER) |
| Authorized Official Contact | 3046872445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeline Services Po Box 184 Alum Creek WV 25003-0184 Ph: (304) 745-7837 | Ridgeline Services 2162 Childress Road Alum Creek WV 25003 Ph: (304) 745-7837 |
| NPI Number | 1992337869 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 1850792896 |
|---|---|
| Medicare Enrollment ID | O20210628002097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992337869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard W Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134407018 PECOS PAC ID: 3870732530 Enrollment ID: I20130610000763 |
| Provider Name | James Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154484202 PECOS PAC ID: 3779956016 Enrollment ID: I20240125003806 |
| Provider Name | Beverly Dawn Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124638994 PECOS PAC ID: 5092188342 Enrollment ID: I20240126000300 |
Seasons Treatment, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2162 Childress Rd, Alum Creek, WV 25003 Phone: 304-745-7837 Fax: 360-242-5842 |