| High Country Community Health Primedical | |
|
240 Highway 105 Ext Ste 100 Boone NC 28607-4291 | |
| (828) 264-7311 | |
| (828) 265-4816 |
| Full Name | High Country Community Health Primedical |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Highway 105 Ext Ste 100, Boone, North Carolina |
| Authorized Official Name and Position | Alice Salthouse (CEO) |
| Authorized Official Contact | 8282623886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Country Community Health Primedical Po Box 1490 Boone NC 28607-1490 Ph: (828) 262-3886 | High Country Community Health Primedical 240 Highway 105 Ext Ste 100 Boone NC 28607-4291 Ph: (828) 264-7311 |
| NPI Number | 1518620665 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 8628225190 |
|---|---|
| Medicare Enrollment ID | O20220228000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518620665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Nicholas J Placentra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760493894 PECOS PAC ID: 7012803075 Enrollment ID: I20040226000748 |
| Provider Name | Greg Lawson Clary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659317360 PECOS PAC ID: 1951338219 Enrollment ID: I20090910000496 |
| Provider Name | David M Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457370967 PECOS PAC ID: 2466596317 Enrollment ID: I20100216000917 |
| Provider Name | Glen Robert Liesegang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174584866 PECOS PAC ID: 8426181934 Enrollment ID: I20100804000973 |
| Provider Name | Amy L. Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558659201 PECOS PAC ID: 9931323888 Enrollment ID: I20140616000392 |
| Provider Name | Ginger P Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790815454 PECOS PAC ID: 8325294911 Enrollment ID: I20160304001834 |
| Provider Name | Miranda J Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212234 PECOS PAC ID: 2860797636 Enrollment ID: I20161108002020 |
| Provider Name | Sabre Thomas Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508372392 PECOS PAC ID: 3971863861 Enrollment ID: I20180214002784 |
| Provider Name | Jessica Nicole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481809 PECOS PAC ID: 4981039328 Enrollment ID: I20200114000567 |
| Provider Name | Theresa Tuckmantel Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497271365 PECOS PAC ID: 9234544073 Enrollment ID: I20210209001448 |
| Provider Name | Carole Ann Morrison Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917734 PECOS PAC ID: 9537562798 Enrollment ID: I20210726001479 |
| Provider Name | Cordelia Raymond Stearns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265721872 PECOS PAC ID: 8325262512 Enrollment ID: I20220823000398 |
| Provider Name | Rosalie Kathleen Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295072478 PECOS PAC ID: 4981056439 Enrollment ID: I20240119002226 |
| Provider Name | Paul Joseph Daoust |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700140605 PECOS PAC ID: 3870936784 Enrollment ID: I20240207004363 |
Total Health Acute Treatment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Deerfield Rd, Suite B, Boone, NC 28607 Phone: 828-262-3733 Fax: 828-262-3819 | |
Harter Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 Longvue Dr, Suite A, Boone, NC 28607 Phone: 828-264-7222 Fax: 828-264-5485 | |
Mountain Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Winklers Creek Rd, Boone, NC 28607 Phone: 615-920-7000 | |
Fryecare Family Medicine Watauga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 Highway 105 Ext, Suite 201, Boone, NC 28607 Phone: 828-262-1800 | |
Compassionate Care Of Nc, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Church Rd, Boone, NC 28607 Phone: 828-963-9400 Fax: 828-963-1973 | |
Appalachian Gastroenterology Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 State Farm Rd, Suite 102, Boone, NC 28607 Phone: 828-264-0029 Fax: 828-265-3305 | |
Willow Tree Medical Concepts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Meadowview Dr, Boone, NC 28607 Phone: 828-264-2727 Fax: 828-264-2722 |