David Reckart
Individual provider Active NPI Community Health Worker · Bruceton Mills, WV
NPI 1063006641 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1063006641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 460 Centenary Rd
Bruceton Mills, WV 26525-5968 - Phone
- (304) 290-6030
- NPI assigned
- Feb 24, 2021
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
460 Centenary Rd
Bruceton Mills, WV 26525-5968
Mailing address
460 Centenary Rd
Bruceton Mills, WV 26525-5968
Phone (304) 290-6030
Other providers in Bruceton Mills, WV
- Connie Marie Nieman
- Scott Reo Okubo
- Julie Olinger
- Matthew Powell
- Practitioner - Bjarni Thomas Aprn, LLC
- Sherea Reckart
- Patricia L Rodeheaver
- Kelcey M Schaum
- Serenity Counseling
- Jenell Shay
All providers in Bruceton Mills, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.