| Mercer County Health Department | |
|
978 Blue Prince Rd Bluefield WV 24701-5074 | |
| (304) 324-8367 | |
| (304) 324-8843 |
| Full Name | Mercer County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 978 Blue Prince Rd, Bluefield, West Virginia |
| Authorized Official Name and Position | Phyllis Susan Kadar (ADMINISTRATOR) |
| Authorized Official Contact | 3043248367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercer County Health Department 978 Blue Prince Rd Bluefield WV 24701-5074 Ph: (304) 324-8367 | Mercer County Health Department 978 Blue Prince Rd Bluefield WV 24701-5074 Ph: (304) 324-8367 |
| NPI Number | 1861696601 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 4284675448 |
|---|---|
| Medicare Enrollment ID | O20110825000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861696601 | NPI | - | NPPES |
| 001711297 | Other | WV | BLUE CROSS BLUE SHIELD |
| 1540381 | Other | WV | UMWA PROVIDER NUMBER |
| 0021320000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mario S Lucero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639173115 PECOS PAC ID: 0042483596 Enrollment ID: I20111029000017 |
| Provider Name | Whitney A Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164852604 PECOS PAC ID: 6406085992 Enrollment ID: I20140203001110 |
| Provider Name | Rebecca Ferrell Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811554 PECOS PAC ID: 4385864701 Enrollment ID: I20141007002945 |
Mountain View Behavioral And Educational Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 W Cumberland Rd, Bluefield, WV 24701 Phone: 276-979-4500 | |
East River Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Cherry St, Building I, Bluefield, WV 24701 Phone: 304-324-2715 Fax: 304-324-2774 | |
Bluefield Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 Coal Heritage Road, Bluefield, WV 24701 Phone: 304-324-2600 Fax: 304-324-2628 | |
Bluefield Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Stadium Dr, Bluefield, WV 24701 Phone: 304-320-5107 | |
Princeton Community Hospital Assn., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Cherry St, Suite 102, Bluefield, WV 24701 Phone: 304-327-1775 | |
Domingo G Javier Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Jefferson St, Bluefield, WV 24701 Phone: 304-325-5755 Fax: 304-323-1639 | |
Bluefield Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Majestic Pl, Bluefield, WV 24701 Phone: 304-589-4377 Fax: 304-589-4389 |