Jill K Couch (NPI# 1972561702, PAC ID# 6103878525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972561702 |
| PAC ID by PECOS | 6103878525 |
| Professional Enrollment ID | I20050214000956 |
| Full Name | Jill K Couch |
| Organization Legal Name | ST. CHARLES HEALTH COUNCIL INC |
| Address |
276 Fieldstone Dr Jonesville VA 24263-1215 |
| Phone Number | 2765463001 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244124584 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490001 | NORTON COMMUNITY HOSPITAL |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | |
| 323 Falls Nwdr, Abingdon, VA 24210-8093 | 2766282612 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 276 Fieldstone Dr, Jonesville, VA 24263-1215 | 2765463001 | ST. CHARLES HEALTH COUNCIL INC |
| 100 15th St Nw, Suite A, Norton, VA 24273-1616 | 2764391840 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | ST. CHARLES HEALTH COUNCIL INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Burner Barnett | Clinical Social Worker | St. Charles Health Council Inc | 20471 Azen Rd, Damascus, VA 24236-4141 |
| Joshua A Yeary | Family Medicine | St. Charles Health Council Inc | 1446 Dr Thomas Walker Rd, Ewing, VA 24248-8307 |
| Wayne A Vanzee | Internal Medicine | St. Charles Health Council Inc | 241 Monarch Rd, St Charles, VA 24282-0269 |
| Dia Owens | Family Medicine | St. Charles Health Council Inc | 162 Medical Ctr Blvd, Haysi, VA 24256-0653 |
| Bridgette L Smith | Nurse Practitioner | St. Charles Health Council Inc | 306 S Shady Ave, Damascus, VA 24236 |
| Thomas E Roatsey | Family Medicine | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Melissa N Keene | Internal Medicine | St. Charles Health Council Inc | 162 Medical Ctr Blvd, Haysi, VA 24256-0653 |
| Abdul Latief Almatari | Internal Medicine | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Crystal E Burke | Clinical Social Worker | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Paige M Cordial | Clinical Psychologist | St. Charles Health Council Inc | 306 S Shady Ave, Damascus, VA 24236 |
| Street Address |
276 FIELDSTONE DR |
| City | JONESVILLE |
| State | VA |
| Zip | 24263-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deidra Fisher-taylor | Clinical Social Worker | 1139 Sugar Run Rd, Jonesville, VA 24263-8232 | |
| Courtney Renee Lankford | Nurse Practitioner | Frontier Health | 1700 Rr, Suite 3, Jonesville, VA 24263-9670 |
| City | JONESVILLE |
| Zip Code | 24263 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JONESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jill K Couch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.