| Braxton County Middle School Wellness Center | |
|
100 Carter Braxton Dr Sutton WV 26601-9773 | |
| (304) 765-2644 | |
| (304) 765-2696 |
| Full Name | Braxton County Middle School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Carter Braxton Dr, Sutton, West Virginia |
| Authorized Official Name and Position | Richard G Simon (CEO) |
| Authorized Official Contact | 3049246262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braxton County Middle School Wellness Center 100 Carter Braxton Dr Sutton WV 26601-9773 Ph: (304) 765-2644 | Braxton County Middle School Wellness Center 100 Carter Braxton Dr Sutton WV 26601-9773 Ph: (304) 765-2644 |
| NPI Number | 1104175058 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20130226000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104175058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2274-1062 (West Virginia) | Primary |
| Provider Name | Jason S Kidd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093939183 PECOS PAC ID: 3274507645 Enrollment ID: I20040823000063 |
| Provider Name | Christy Leann Lucas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346323136 PECOS PAC ID: 4688690969 Enrollment ID: I20051017000119 |
| Provider Name | Nicholas Joel Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225177504 PECOS PAC ID: 1951404474 Enrollment ID: I20070321000181 |
| Provider Name | Angela Gfayle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
| Provider Name | Allyson Malone Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164405569 PECOS PAC ID: 4082797865 Enrollment ID: I20080218000215 |
| Provider Name | Patricia Louise Collett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528008760 PECOS PAC ID: 5890878672 Enrollment ID: I20080218000228 |
| Provider Name | Rachel Marie Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760612899 PECOS PAC ID: 6305990664 Enrollment ID: I20090820000617 |
| Provider Name | Erin N King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528368248 PECOS PAC ID: 2264620715 Enrollment ID: I20101228000061 |
| Provider Name | Genevieve F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708513 PECOS PAC ID: 5597924175 Enrollment ID: I20120319000205 |
| Provider Name | Heather a Radcliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649539396 PECOS PAC ID: 1951557115 Enrollment ID: I20120803000706 |
| Provider Name | Holly Alexandria Osborne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326398355 PECOS PAC ID: 6305099920 Enrollment ID: I20130110000293 |
| Provider Name | Kimberly Renee Becher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528351863 PECOS PAC ID: 4385883065 Enrollment ID: I20140807001149 |
| Provider Name | Stephanie H Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376972422 PECOS PAC ID: 7214240027 Enrollment ID: I20150723006972 |
| Provider Name | Yvonne Marie Staschiak Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932625597 PECOS PAC ID: 4688949761 Enrollment ID: I20170929002223 |
| Provider Name | Ashley Renee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634567 PECOS PAC ID: 4183054190 Enrollment ID: I20200415000487 |
| Provider Name | Betsy Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205312329 PECOS PAC ID: 6901278639 Enrollment ID: I20230207000832 |
| Provider Name | Melany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851914105 PECOS PAC ID: 5193172005 Enrollment ID: I20231115001393 |
| Provider Name | Barbara Ballash |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1538517354 PECOS PAC ID: 4688572381 Enrollment ID: I20240410001650 |
| Provider Name | Megan Lynnette Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063960730 PECOS PAC ID: 8022306331 Enrollment ID: I20240715000922 |
Little Birch Elementary School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Little Birch Rd, Sutton, WV 26601 Phone: 304-924-6262 Fax: 304-924-5460 |
J2 Osteopathic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Old Turnpike Rd, Sutton, WV 26601 Phone: 304-765-9500 Fax: 304-765-9502 |
Braxton County High School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Jerry Burton Dr, Sutton, WV 26601 Phone: 304-765-7331 Fax: 304-765-7976 |
Braxton County Board of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 617 Old Turnpike Road, Sutton, WV 26601 Phone: 304-765-2851 Fax: 304-765-2020 |
Community Care Connections of Flatwoods Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-4400 Fax: 304-765-0354 |
Arturo B. Sabio M.D. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Riverview Dr, Sutton, WV 26601 Phone: 304-765-5943 Fax: 304-765-4003 |