Charles E Hill Jr., PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

279 Issued in WV

Practice address

1650 Main Street
Family Healthcare Assoc Inc
Pineville, WV 24874

Phone

(304) 732-6735

Fax

(304) 732-9218

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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.

• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Mullens, WV
  • NPI 1700815800

  Family Medicine, WV

  Medicare reassignment NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Oceana, WV
  • NPI 1275562373

  Family Medicine

  NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Gilbert, WV
  • NPI 1376572479

  Family Medicine

  NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Man, WV
  • NPI 1902835010

  Family Medicine

  NPD

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2010.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1851474845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "address_2": "FAMILY HEALTHCARE ASSOC INC",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MAIN STREET",
            "address_2": "FAMILY HEALTHCARE ASSOC INC",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000490",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Fischer
• Kristy Anne Fleenor, MA CCCSLP
• Rita Grace Fortney, MA CCCSP
• Greenbrier Valley Physical Therapy LLC
• Jenny Marie Hatfield
• Natasha D Huff
• Roger T Johnson, PAC
• Jo Ann Jones, MS IN SPEECH LANGUAG
• Phillip Just Sr.
• Kari Justice

• All providers in Pineville, WV
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.