MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES (NPI# 1265975379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265975379 |
| Entity Type | Organization |
| Organization Name | MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES |
| Other Organization Name | PETERSTOWN WELLNESS CENTER |
| Practice Address |
108 College Dr Peterstown WV 24963-1500 |
| Mailing Address |
200 Health Center Dr Union WV 24983-8442 |
| Practice Telephone | 3047536960 |
| Mailing Telephone | 3047723034 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MICHELLE BALLARD (COO) |
| Authorized Official Telephone | 3047723034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PETERSTOWN WELLNESS CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912440298 | Monroe County Health Center Board of Trustees | Clinic/Center | Rr 1 Box 97-1a, Lindside, WV 24951-9612 | 2016-11-18 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1851585046 | Monroe County Health Center Board of Trustees | Clinic/Center | 226 Market Street, New Castle, VA 24127-0370 | 2007-08-30 |
| 1952814881 | Monroe County Health Center Board of Trustees | Clinic/Center | 180 Old Schoolhouse Road, Forest Hill, WV 24935 | 2017-11-14 |
| 1174066385 | Monroe County Health Center Board of Trustees | Clinic/Center | 620 School St, Mt View, Union, WV 24983-0590 | 2016-11-21 |
| 1992734487 | Monroe County Health Center Board of Trustees | Clinic/Center | 200 Health Center Drive, Union, WV 24983 | 2006-06-30 |
| Street Address |
108 COLLEGE DR |
| City | PETERSTOWN |
| State | WV |
| Zip Code | 24963-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965188 | Nancy Pennington | Technician | 111 Willmack Dr., Peterstown, WV 24963 | 2020-09-01 |
| 1174762314 | Amber G Harper | Physician Assistant | 590 Us Highway 219, Peterstown, WV 24963 | 2009-02-11 |
| 1174725188 | Monroe County Health Center, Board of Trustees | Clinic/Center | 2869 Seneca Trail, Peterstown, WV 24963 | 2007-06-01 |
| 1578770889 | Ferrell Eye Clinic, P.c | Optometrist | 19 H Market St, Peterstown, WV 24963 | 2007-05-17 |
| 1720200991 | Peterstown Volunteer Fire Department and Rescue Squad Inc | Ambulance | 218 Market Street, Peterstown, WV 24963 | 2007-05-03 |
| 1407072408 | Monroe Health Center-peterstown Lab | Clinical Medical Laboratory | 591 Us Highway 219, Peterstown, WV 24963 | 2007-04-18 |
| 1659467637 | Robert Kelly Massie Jr. | Pharmacist | 105 Market Street, Peterstown, WV 24963 | 2006-10-05 |
| 1508886987 | Mark A Clarkson | Family Medicine | 2869 Seneca Trial, Peterstown, WV 24963 | 2006-07-20 |
| 1780609107 | Stephen Michael Miller Do | Clinic/Center | 3921 Seneca Trail South, Peterstown, WV 24963 | 2006-07-13 |
| 1154763282 | Katrina Ann Shires | Nurse Practitioner | 591 Us Highway 219, Peterstown, WV 24963 | 2013-07-17 |
| Find all providers in zip 24963 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174725188 | Monroe County Health Center, Board of Trustees | Clinic/Center | 2869 Seneca Trail, Peterstown, WV 24963 | 2007-06-01 |
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|---|---|---|---|---|
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| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | PETERSTOWN |
| Zip Code | 24963 |
Please comment or provide details below to improve the information on MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.