Barbara Gillispie

Individual provider Active NPI Community Health Worker · Midway, WV

NPI 1053903138 · NPPES record last updated Feb 9, 2021

Key facts

NPI
1053903138
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
137 Coal City Rd
Midway, WV 25878-1149
Phone
(304) 207-8925
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

137 Coal City Rd
Midway, WV 25878-1149

Mailing address

137 Coal City Rd
Midway, WV 25878-1149
Phone (304) 207-8925

Other providers in Midway, WV

All providers in Midway, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.