BLUESTONE HEALTH ASSOCIATION, INC. (NPI# 1770950396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770950396 |
| Entity Type | Organization |
| Organization Name | BLUESTONE HEALTH ASSOCIATION, INC. |
| Other Organization Name | BLUESTONE FAMILY PRACTICE |
| Practice Address |
3016 E Cumberland Rd Bluefield WV 24701-4858 |
| Mailing Address |
3997 Beckley Rd Princeton WV 24740-7660 |
| Practice Telephone | 3044315499 |
| Practice Fax Number | 3044313400 |
| Mailing Telephone | 3044315499 |
| Mailing Fax Number | 3044313400 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | LINDA HUTCHENS (CEO) |
| Authorized Official Telephone | 3044315499 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUESTONE HEALTH ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3910007244 | 05 |
| Other Name | Type Code |
|---|---|
| Bluestone Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043387327 | Bluestone Health Association, Inc. | Nurse Practitioner | 10001 Simmons River Road, Montcalm, WV 24740 | 2006-11-29 |
| 1003453317 | Bluestone Health Association, Inc. | Clinic/Center | 106 Thorn St, Princeton, WV 24740-3560 | 2019-12-05 |
| 1437508314 | Bluestone Health Association, Inc. | Clinic/Center | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2016-06-10 |
| 1912377813 | Bluestone Health Association, Inc. | Clinic/Center | 200 12th Street Ext, Princeton, WV 24740-2329 | 2015-10-05 |
| 1346266848 | Bluestone Health Association, Inc. | Family Medicine | 3997 Beckley Rd, Princeton, WV 24740-7660 | 2006-07-15 |
| Street Address |
3016 E CUMBERLAND RD |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396128112 | Samantha Dawn Nunley | Nurse Practitioner | 3016 E Cumberland Rd, Bluefield, WV 24701-4858 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
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| Find all providers with the same taxonomy | ||||
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| 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.