| E.a. Hawse Health Center Inc | |
|
17978 Sr 55 Baker WV 26801 | |
| (304) 897-5915 | |
| (304) 897-6216 |
| Full Name | E.a. Hawse Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17978 Sr 55, Baker, West Virginia |
| Authorized Official Name and Position | Melissa Thompson (CEO) |
| Authorized Official Contact | 3048975915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E.a. Hawse Health Center Inc Po Box 97 Baker WV 26801-0097 Ph: (304) 897-5915 | E.a. Hawse Health Center Inc 17978 Sr 55 Baker WV 26801 Ph: (304) 897-5915 |
| NPI Number | 1851359251 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 11/14/2022 |
| Medicare PECOS PAC ID | 6204728041 |
|---|---|
| Medicare Enrollment ID | O20040326000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851359251 | NPI | - | NPPES |
| 0022759001 | Medicaid | WV |
| Provider Name | Anthony K Haywood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376535351 PECOS PAC ID: 2769470277 Enrollment ID: I20040504000517 |
| Provider Name | Jerry M Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831181304 PECOS PAC ID: 7911947056 Enrollment ID: I20060126000024 |
| Provider Name | Melissa Dawn Kitzmiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659329761 PECOS PAC ID: 1153454103 Enrollment ID: I20100728000762 |
| Provider Name | Elizabeth Hynes Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558329763 PECOS PAC ID: 0042343683 Enrollment ID: I20100803000150 |
| Provider Name | Michael P Riggleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163500 PECOS PAC ID: 8628150349 Enrollment ID: I20100830000267 |
| Provider Name | Jacob Lane Metheny |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366680191 PECOS PAC ID: 2062650567 Enrollment ID: I20130522000444 |
| Provider Name | Solomon M Mutetwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417146663 PECOS PAC ID: 4688727068 Enrollment ID: I20151112000911 |
| Provider Name | Lauren E Mongold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437526068 PECOS PAC ID: 2668773862 Enrollment ID: I20151211002452 |
| Provider Name | Karen Ryman Bradfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811305923 PECOS PAC ID: 1658591078 Enrollment ID: I20170127000909 |
| Provider Name | Heather J Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906838 PECOS PAC ID: 2466728209 Enrollment ID: I20171024001484 |
| Provider Name | Elizabeth A Voit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043712516 PECOS PAC ID: 6002171402 Enrollment ID: I20181106002710 |
| Provider Name | Elizabeth M Hott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942761853 PECOS PAC ID: 6002159696 Enrollment ID: I20191127000797 |
| Provider Name | Mark W Puffenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124055314 PECOS PAC ID: 2860564176 Enrollment ID: I20200407001770 |
| Provider Name | Jerica Elaine Bobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659979011 PECOS PAC ID: 9830592351 Enrollment ID: I20210721002897 |
| Provider Name | Jessica M Riggleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811635 PECOS PAC ID: 7416355656 Enrollment ID: I20211001002281 |
| Provider Name | Nicole Rene Ours |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053608588 PECOS PAC ID: 0143451971 Enrollment ID: I20211102001427 |
| Provider Name | Jacquelyn M Kessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497423776 PECOS PAC ID: 4183015621 Enrollment ID: I20220223002616 |
| Provider Name | Misty Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932647815 PECOS PAC ID: 0941696801 Enrollment ID: I20220402000002 |
| Provider Name | Kari Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841953510 PECOS PAC ID: 5496145849 Enrollment ID: I20220412001219 |
| Provider Name | Tiffany Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932659414 PECOS PAC ID: 4880968643 Enrollment ID: I20220830000592 |
| Provider Name | Kasey Mowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639611882 PECOS PAC ID: 9133579816 Enrollment ID: I20231220003629 |
| Provider Name | Elizabeth Stutler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083115679 PECOS PAC ID: 3870839012 Enrollment ID: I20231227001861 |
| Provider Name | Carrie A. Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841784196 PECOS PAC ID: 5294187779 Enrollment ID: I20240119003248 |
| Provider Name | Tori C Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013642032 PECOS PAC ID: 8224479555 Enrollment ID: I20240516003535 |
| Provider Name | Jordan Elizabeth Snyder |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225785637 PECOS PAC ID: 8729520853 Enrollment ID: I20240605000198 |
| Provider Name | Jacob Alan Greene |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407460942 PECOS PAC ID: 1254875263 Enrollment ID: I20240702000656 |
| Provider Name | Natalie Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811624901 PECOS PAC ID: 0547705931 Enrollment ID: I20240710000592 |
| Provider Name | Eileen Tehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932332558 PECOS PAC ID: 1355528662 Enrollment ID: I20240802000607 |
| Provider Name | Kylie Angaline Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992422125 PECOS PAC ID: 6002340064 Enrollment ID: I20241113001821 |
| Provider Name | Cassie Zaleski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104511161 PECOS PAC ID: 9436673571 Enrollment ID: I20250409003930 |
E. A. Hawse Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 Cougar Drive, Baker, WV 26801 Phone: 304-897-5970 |