| Appalachian Family Care, Llc | |
|
18765 Riverside Drive Vansant VA 24656 | |
| (276) 935-2880 | |
| (276) 935-2889 |
| Full Name | Appalachian Family Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 18765 Riverside Drive, Vansant, Virginia |
| Authorized Official Name and Position | Frances Baxter Minton (PRESIDENT) |
| Authorized Official Contact | 2769352880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Family Care, Llc Po Box 498 Keen Mountain VA 24624-0498 Ph: (276) 935-2880 | Appalachian Family Care, Llc 18765 Riverside Drive Vansant VA 24656 Ph: (276) 935-2880 |
| NPI Number | 1053336636 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9931206232 |
|---|---|
| Medicare Enrollment ID | O20070522000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053336636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald R Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219688 PECOS PAC ID: 1759299761 Enrollment ID: I20040611000290 |
| Provider Name | Linda Radford-goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013978022 PECOS PAC ID: 2163474818 Enrollment ID: I20050210000844 |
| Provider Name | Barbara Lynn Shinall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134195050 PECOS PAC ID: 2062590219 Enrollment ID: I20080429000269 |
| Provider Name | Angela H Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205817780 PECOS PAC ID: 8325102635 Enrollment ID: I20090202000274 |
| Provider Name | Ramona Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871815316 PECOS PAC ID: 1557556537 Enrollment ID: I20101116000957 |
| Provider Name | Emma C Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902291685 PECOS PAC ID: 7113230251 Enrollment ID: I20160629002433 |
| Provider Name | Kelly Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164051306 PECOS PAC ID: 5597185058 Enrollment ID: I20201022000089 |
| Provider Name | Brenda Arlene Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750525853 PECOS PAC ID: 2567629959 Enrollment ID: I20210804002712 |
| Provider Name | Allison Heather Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487226130 PECOS PAC ID: 8820489404 Enrollment ID: I20211216000707 |
| Provider Name | Traci Rowlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946922 PECOS PAC ID: 0143697227 Enrollment ID: I20221102001017 |
| Provider Name | Samantha Renee Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154133676 PECOS PAC ID: 1052833704 Enrollment ID: I20250321002846 |
| Provider Name | Lacey Nicolau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518778752 PECOS PAC ID: 2567882962 Enrollment ID: I20250422000883 |
| Provider Name | Savannah Nicole Stiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518779842 PECOS PAC ID: 6002332699 Enrollment ID: I20250428000722 |
St. Charles Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rt 83, Vansant, VA 24656 Phone: 276-597-7081 Fax: 276-597-8225 |