Hollie Beth Blackburn
Individual provider Active NPI Community Health Worker · Gilbert, WV
NPI 1477147346 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1477147346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 83 Mitchell LN
Gilbert, WV 25621-9722 - Phone
- (304) 953-4475
- NPI assigned
- Feb 22, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
83 Mitchell LN
Gilbert, WV 25621-9722
Mailing address
PO Box 1752
Gilbert, WV 25621-1752
Phone (304) 953-4475
Other providers in Gilbert, WV
- Adkins Pharmacy Inc
- Rodney Randall Adkins
- Appalachian Rehab Centers, Inc.
- Traci Renee Belcher
- Bethanna Blankenship
- Dorothy Sue Blankenship
- Jowana Sue Blankenship
- Gary Ivan Brown
- Ruth Browning
All providers in Gilbert, 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 22, 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.