SOUTHERN WEST VIRGINIA PRIMARY CARE INC (NPI# 1598147431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598147431 |
| Entity Type | Organization |
| Organization Name | SOUTHERN WEST VIRGINIA PRIMARY CARE INC |
| Practice Address |
321 Dry Hill Rd Beckley WV 25801-2601 |
| Practice Telephone | 3042500142 |
| Mailing Telephone | 3042500142 |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-06-28 |
| Authorized Official Name | DR. JAMES BRANDON SMITH (OWNER) |
| Authorized Official Telephone | 3042500142 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
23171147 | WV | Ambulatory Health Care Facilities |
| Street Address |
321 DRY HILL RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225144603 | Tonia M Daniels | Nurse Practitioner | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2006-08-21 |
| 1689072605 | Christina L. Phares | Nurse Practitioner | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2014-12-08 |
| 1790199966 | Dianne Scarbro | Nurse Practitioner | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2014-06-16 |
| 1407283245 | Imagine Medispa | Nurse Practitioner | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2013-10-10 |
| 1891037727 | Epimaco Origen Rubio | Specialist | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2013-03-18 |
| 1942493622 | James Brandon Smith | General Practice | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676096 | Mebrahtom Tesfai Pllc | Clinic/Center | 212 Professional Park, Beckley, WV 25801-3624 | 2012-07-17 |
| 1396089355 | Thoroughmed Health Care, LLC | Clinic/Center | 2401 S Kanawha St, Suite 104, Beckley, WV 25801-6967 | 2012-11-15 |
| 1184736126 | Alleghany Medical Services, P.C. | Clinic/Center | 2962 Robert C. Byrd Drive, Beckley, WV 25801 | 2006-08-31 |
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|---|---|---|---|---|
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1588039242 | Summersville Outpatient Center | Clinic/Center | 100 Florence Street, Ansted, WV 25812 | 2015-12-07 |
| 1801283882 | Mingo County Family Wellness Center LLC | Clinic/Center | 50 Lenore Business Center, Williamson, WV 25661 | 2015-04-17 |
| 1639412398 | Potomac Integrative Health Pllc | Clinic/Center | 51 Maddex Square Drive, Shepherdstown, WV 25443-4310 | 2013-04-01 |
| 1831447499 | William Conrad Inc. | Clinic/Center | 154 Oak View Ln, New Creek, WV 26743-4544 | 2012-08-29 |
| 1548518095 | Charles Town Health Right, Inc | Clinic/Center | 1212 N. Mildred St., Ranson, WV 25438-5552 | 2012-08-15 |
| 1679832646 | Health Thru Care, LLC | Clinic/Center | 1397 Earl L. Core Road, Sabraton Plaza, Morgantown, WV 26505 | 2012-05-11 |
| 1811261225 | Bruceton Medical Center | Clinic/Center | 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 | 2012-03-02 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| 1588961577 | City Pediatrics | Clinic/Center | 1804 W King St, Suite 200, Martinsburg, WV 25401-2004 | 2011-02-28 |
| 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.