NPIMap

Organization Active NPI

Bluestone Health Association, Inc.

Doing business as Bluestone Primary Care

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
National Provider Identifier
1003453317
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUESTONE HEALTH ASSOCIATION, INC.
Doing business as
Bluestone Primary Care
Practice address
106 Thorn St
Princeton, WV 24740-3560
Phone
(681) 282-5609
Fax
(304) 936-6157
NPI assigned
Dec 5, 2019
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUESTONE HEALTH ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittani Nicole Hutchens
Title
Ceo
Phone
(304) 320-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

106 Thorn St
Princeton, WV 24740-3560

Mailing address

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Other names 1

  • Bluestone Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201029003115 WV Part A Provider - Federally Qualified Health Center (FQHC) 3577505221 Practice locations: Princeton, WV
O20210226000722 WV Part B Supplier - Clinic/Group Practice 3577505221 Receives reassigned benefits from 40 practitioners
Practice locations: Princeton, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003453317. Details of each certification follow.

Federally qualified health center certification: CCN 511195

Legal name
BLUESTONE HEALTH ASSOCIATION, INC.
Doing business as
BLUESTONE PRIMARY CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 29, 2020
Last certification
Oct 29, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 19, 1976 in WV
Enrollment address
106 Thorn St
Princeton, WV 24740-3560

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Bluestone Health Associ

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Norman Fletcher Individual OtherBoard Member Jan 1, 1995
Norma Clark Individual OtherBoard Member Jan 1, 2010
Pete Stamolis Individual OtherBoard Member Jan 1, 2001
Linda Hutchens Individual Corporate DirectorCheif Executive Officer Sep 1, 1993
W-2 Managing EmployeeCheif Executive Officer Sep 1, 1993
Marsha Howell Individual OtherBoard Member Jan 1, 1986
Mary Joann Dixon Individual Corporate OfficerBoard Member Nov 30, 2020
Melanie Jessee Individual OtherBoard Member Oct 22, 2012
Susanne Pulse Individual Corporate OfficerBoard Member Nov 30, 2020

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1003453317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403560",
            "telephone_number": "681-282-5609",
            "fax_number": "304-936-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE HEALTH ASSOCIATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUESTONE HEALTH ASSOCIATION, INC.",
        "enumeration_date": "2019-12-05",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "BRITTANI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-320-2835"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestone Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluestone Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.