| Buckhannon-upshur High School Wellness Center | |
|
50 Bu Dr Buckhannon WV 26201-9411 | |
| (304) 472-3720 | |
| (304) 472-0772 |
| Full Name | Buckhannon-upshur High School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Bu Dr, Buckhannon, 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 |
|---|---|
| Buckhannon-upshur High School Wellness Center 50 Bu Dr Buckhannon WV 26201-9411 Ph: (304) 472-3720 | Buckhannon-upshur High School Wellness Center 50 Bu Dr Buckhannon WV 26201-9411 Ph: (304) 472-3720 |
| NPI Number | 1104177674 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20130226000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104177674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2273-6226 (West Virginia) | Primary |
| Provider Name | Sarah Chouinard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023087954 PECOS PAC ID: 0042118127 Enrollment ID: I20031229000189 |
| Provider Name | Christine L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801865290 PECOS PAC ID: 6406824572 Enrollment ID: I20040923000906 |
| Provider Name | Jennifer A Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739464 PECOS PAC ID: 4688678519 Enrollment ID: I20060908000049 |
| Provider Name | Angela Gfayle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
| Provider Name | Raymond Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376769984 PECOS PAC ID: 7810068764 Enrollment ID: I20080619000753 |
| Provider Name | Aimee Michelle Whitehair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003093097 PECOS PAC ID: 9335217363 Enrollment ID: I20081004000001 |
| Provider Name | Kelly W Dunavant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609047109 PECOS PAC ID: 9335202803 Enrollment ID: I20090108000795 |
| Provider Name | Chris Neil Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326225350 PECOS PAC ID: 7214082551 Enrollment ID: I20090910000027 |
| Provider Name | Gregory M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033351234 PECOS PAC ID: 1759566599 Enrollment ID: I20110421000221 |
| Provider Name | Genevieve F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708513 PECOS PAC ID: 5597924175 Enrollment ID: I20120319000205 |
| Provider Name | Iris Mae Canete Trinidad Carillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386873024 PECOS PAC ID: 3375791726 Enrollment ID: I20120910000910 |
| Provider Name | Joshua S Abbott |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891041406 PECOS PAC ID: 0648422030 Enrollment ID: I20121211000330 |
| Provider Name | Laura E Abbott |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093061608 PECOS PAC ID: 4082866470 Enrollment ID: I20121211000351 |
| Provider Name | Kimberly Renee Becher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528351863 PECOS PAC ID: 4385883065 Enrollment ID: I20140807001149 |
| Provider Name | Melissa Shockey Dodrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871887349 PECOS PAC ID: 5991923963 Enrollment ID: I20140904001927 |
| Provider Name | Christina Booda Gillenwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770876021 PECOS PAC ID: 3678712874 Enrollment ID: I20141205001626 |
| Provider Name | Joan M Doris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396149266 PECOS PAC ID: 7113241423 Enrollment ID: I20150114002407 |
| Provider Name | Pamela R Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932503679 PECOS PAC ID: 3274857057 Enrollment ID: I20150127001435 |
| Provider Name | Yvonne Marie Staschiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932625597 PECOS PAC ID: 4688949761 Enrollment ID: I20170929002223 |
| Provider Name | Nathaniel Shay Linger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942656400 PECOS PAC ID: 3173814027 Enrollment ID: I20190612001944 |
| Provider Name | Katelyn Elizabeth Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598407595 PECOS PAC ID: 2062899446 Enrollment ID: I20220525000219 |
| Provider Name | Melany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851914105 PECOS PAC ID: 5193172005 Enrollment ID: I20231115001393 |
| Provider Name | Abbie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003307588 PECOS PAC ID: 5395084198 Enrollment ID: I20231226000009 |
| Provider Name | Elizabeth A Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053068718 PECOS PAC ID: 0345684346 Enrollment ID: I20240219000179 |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699 | |
Carexpress Of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W Main St, Buckhannon, WV 26201 Phone: 304-473-5600 Fax: 304-472-1341 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 | |
Community Care Pediatrics Of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Northridge Dr Ste 118, Buckhannon, WV 26201 Phone: 304-473-5660 Fax: 304-473-5661 | |
St. Joseph's Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Amalia Dr, Suite B-1, Buckhannon, WV 26201 Phone: 304-473-2200 Fax: 304-473-2057 | |
West Virginia Wesleyan College Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 College Ave, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 |