| Jackson County School Wellness Center | |
|
4a School St Ripley WV 25271-1538 | |
| (304) 372-7341 | |
| (304) 372-7341 |
| Full Name | Jackson County School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4a School St, Ripley, West Virginia |
| Authorized Official Name and Position | Vicki L. Knicely (BILLING/CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3042753301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County School Wellness Center Po Box 609 Elizabeth WV 26143-0609 Ph: (304) 275-3301 | Jackson County School Wellness Center 4a School St Ripley WV 25271-1538 Ph: (304) 372-7341 |
| NPI Number | 1265615728 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 7810806577 |
|---|---|
| Medicare Enrollment ID | O20140606000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265615728 | NPI | - | NPPES |
| 0009486002 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Jackson General Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Church St S, Ripley, WV 25271 Phone: 304-372-2731 |
Ripley Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512a South Church Street, Ripley, WV 25271 Phone: 304-372-1033 Fax: 304-372-0223 |
Brandon Cestaric Family Medicine, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 62a, Ripley, WV 25271 Phone: 304-373-0280 Fax: 304-373-0281 |
James Gaal DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Pinnell St, Ripley, WV 25271 Phone: 304-372-4402 |
Jackson General Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Academy Drive, Ripley, WV 25271 Phone: 304-372-2731 Fax: 304-372-2749 |
Envision Medical Care, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Court St S Ste B, Ripley, WV 25271 Phone: 304-372-1030 |