FIVE OAKS FAMILY CLINIC, INC. (NPI# 1841247368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841247368 |
Entity Type | Organization |
Organization Name | FIVE OAKS FAMILY CLINIC, INC. |
Practice Address |
Rr 3 Box 458e Fayetteville WV 25840-9589 |
Practice Telephone | 3045741888 |
Practice Fax Number | 3045741891 |
Mailing Telephone | 3045741888 |
Mailing Fax Number | 3045741891 |
Enumeration Date | 2006-05-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MARK DOUGLAS WHITE (PRESIDENT) |
Authorized Official Telephone | 3045741890 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
14161 | WV | Ambulatory Health Care Facilities |
Street Address |
RR 3 BOX 458E |
City | FAYETTEVILLE |
State | WV |
Zip Code | 25840-9589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
Find all providers in zip 25840 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1720642770 | Arcare | Clinic/Center | 2894 N Mckee Cir Ste 101, Fayetteville, AR 72703-3498 | 2019-04-25 |
1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
1770004723 | Vita Family Practice Pllc | Clinic/Center | 609 Executive Pl Ste B, Fayetteville, NC 28305-5713 | 2017-06-29 |
1083087837 | Cornerstone Family Practice & Urgent Care, Pllc | Clinic/Center | 2547 Ravenhill Dr, Suite 104, Fayetteville, NC 28303-9616 | 2015-11-02 |
1609186790 | Stedman - Wade Health Services, Inc | Clinic/Center | 2409 Murchison Rd Ste B, Fayetteville, NC 28301-3519 | 2010-10-07 |
1093020240 | Georgia Medical Consultants, P.C. | Clinic/Center | 101 Devant Street, Suite 105, Fayetteville, GA 30214-7636 | 2010-08-12 |
1063682227 | Noralean Williams,md,pa | Clinic/Center | 705 Cumberland St, #a, Fayetteville, NC 28301-7020 | 2008-03-04 |
1548358526 | Carolina Family Practice Centre,pa | Clinic/Center | 2500 Village Dr Ste 100, Fayetteville, NC 28304-3811 | 2006-10-11 |
1649223637 | Well Point Urgent Care and Family Clinic Inc | Clinic/Center | 601 Ramsey St, Fayetteville, NC 28301-4913 | 2006-05-18 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 25840 |
Please comment or provide details below to improve the information on FIVE OAKS FAMILY CLINIC, INC..
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.