| Bluestone Health Association, Inc. | |
|
5451 Simmons River Road Montcalm WV 24737 | |
| (304) 589-3251 | |
| (304) 589-5363 |
| Full Name | Bluestone Health Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5451 Simmons River Road, Montcalm, West Virginia |
| Authorized Official Name and Position | Rebecca Kish (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044315499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestone Health Association, Inc. 5451 Simmons River Rd. Montcalm WV 24737 Ph: (304) 589-3251 | Bluestone Health Association, Inc. 5451 Simmons River Road Montcalm WV 24737 Ph: (304) 589-3251 |
| NPI Number | 1043387327 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 3577505221 |
|---|---|
| Medicare Enrollment ID | O20050831000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043387327 | NPI | - | NPPES |
| 0035334000 | Medicaid | WV | |
| CD7656 | Other | WV | RR MC |
| 0022360001 | Medicaid | WV | |
| 001706661 | Other | WV | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |