| Ritchie County Primary Care Assoc Inc | |
|
135 South Penn Ave Harrisville WV 26362 | |
| (304) 643-4005 | |
| (304) 643-4007 |
| Full Name | Ritchie County Primary Care Assoc Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 South Penn Ave, Harrisville, West Virginia |
| Authorized Official Name and Position | Amy Yokum (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3046434005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ritchie County Primary Care Assoc Inc L-4162 Columbus OH 43260-0001 Ph: (304) 643-4005 | Ritchie County Primary Care Assoc Inc 135 South Penn Ave Harrisville WV 26362 Ph: (304) 643-4005 |
| NPI Number | 1265404230 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 0244142453 |
|---|---|
| Medicare Enrollment ID | O20031105000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265404230 | NPI | - | NPPES |
| 0010373004 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Saad U Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417965476 PECOS PAC ID: 2466356886 Enrollment ID: I20031126000122 |
| Provider Name | Lisa J Straight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740449214 PECOS PAC ID: 4789570201 Enrollment ID: I20040223000974 |
| Provider Name | Cristina Garde Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780689471 PECOS PAC ID: 2264429034 Enrollment ID: I20040426001444 |
| Provider Name | Harvey L West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699866434 PECOS PAC ID: 8022022946 Enrollment ID: I20060131000358 |
| Provider Name | Marilyn Horacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003838830 PECOS PAC ID: 8224039144 Enrollment ID: I20080508000711 |
| Provider Name | Karrissa E Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275940835 PECOS PAC ID: 3476773292 Enrollment ID: I20140930000586 |
| Provider Name | Tana Renee Kevak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841896 PECOS PAC ID: 3072761253 Enrollment ID: I20150909000763 |
| Provider Name | Jessica P Sias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942189 PECOS PAC ID: 8527362128 Enrollment ID: I20160202000774 |
| Provider Name | Dawn Renee Barchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891295077 PECOS PAC ID: 6901160365 Enrollment ID: I20180510002246 |
| Provider Name | Andrea Nicole Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555271 PECOS PAC ID: 9032469333 Enrollment ID: I20180907000495 |
| Provider Name | Julia Murray Teubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396123170 PECOS PAC ID: 2062725781 Enrollment ID: I20181114000709 |
| Provider Name | Chandra D Diebold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942626098 PECOS PAC ID: 7517269426 Enrollment ID: I20190503002174 |
| Provider Name | Olivia Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087670 PECOS PAC ID: 5496172207 Enrollment ID: I20200825002264 |
| Provider Name | Jennifer Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295268654 PECOS PAC ID: 5890051429 Enrollment ID: I20210506000902 |
| Provider Name | Sandra Ellen Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104974963 PECOS PAC ID: 2668619909 Enrollment ID: I20210927001903 |
| Provider Name | Christine Marie Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285032953 PECOS PAC ID: 7517355258 Enrollment ID: I20211028001967 |
| Provider Name | Cristy Lynn Cupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372401 PECOS PAC ID: 9537542329 Enrollment ID: I20220811000348 |
| Provider Name | Ashley E Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265091367 PECOS PAC ID: 6709261167 Enrollment ID: I20240306003989 |
| Provider Name | Jasen Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528332921 PECOS PAC ID: 9830476845 Enrollment ID: I20240503002832 |
| Provider Name | Zachary Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699395509 PECOS PAC ID: 2466816137 Enrollment ID: I20240918002728 |
Ritchie County Primary Care Assoc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 E Main St, Harrisville, WV 26362 Phone: 304-643-4005 |