Bluestone Health Association, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

BLUESTONE HEALTH ASSOCIATION, INC.

Doing business as

Southern Bluestone Health Center

Practice address

200 12TH Street Ext
Princeton, WV 24740-2329

Phone

(304) 431-5499

Fax

(304) 431-3400

NPI assigned

Oct 5, 2015

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUESTONE HEALTH ASSOCIATION, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Hutchens

Title

Ceo

Phone

(304) 431-5499

Specialties & licenses 1

Addresses

Other names 1

• Southern Bluestone Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bluestone Health Association, Inc.

  dba Bluestone Family Practice

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1770950396

  O20160426000491

  Same enrollment

Part of

Bluestone Health Associ

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natasha Nicola Barker, PAC

  • Physician Assistant
  • Athens, WV
  • NPI 1578789731
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1912377813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402329",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402329",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE HEALTH ASSOCIATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUESTONE HEALTH ASSOCIATION, INC.",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-431-5499"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Bluestone Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bluefield Mental Health Center, PC
• Bluestone Health Association, Inc. (Bluestone Primary Care)
• Bluestone Health Association, Inc.
• Bluestone Health Association, Inc. (Bluestone Medical Center)
• Bluestone Health Association, Inc. (Bluestone Health Association Behavioral Health and Recovery Services)
• Bluestone Health Center Pharmacy
• Melissa Bogle, FNP-BC
• Patricia Bolen
• Josiah Bolyard, OD
• Jordyn Boone

• Federally Qualified Health Center (FQHC) in Princeton, WV
• Providers in Princeton, WV by specialty
• Federally Qualified Health Center (FQHC) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.