Eric Crook

Individual provider Active NPI Case Manager/Care Coordinator · Wheeling, WV

NPI 1659065183 · NPPES record last updated Jun 7, 2023

Key facts

NPI
1659065183
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
87 15TH St
Wheeling, WV 26003-3548
Phone
(304) 233-9627
Fax
(304) 233-0056
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Services System, Inc. Current
since Jun 11, 2023
Accepting new patients

Locations

87 15th St
Wheeling, WV 26003
Phone 3042339627 ext. 115

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

87 15TH St
Wheeling, WV 26003-3548

Mailing address

PO Box 6041
Wheeling, WV 26003-0717
Phone (304) 233-9627

Other providers in Wheeling, WV

All providers in Wheeling, WV · Case Manager/Care Coordinator in West Virginia

Sources for this page

Verify at the official NPI Registry.