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PRUDICH MEDICAL CENTER
NPI 1043387327
Clinic/Center - Federally Qualified Health Center (FQHC) in Montcalm, WV

Active since November 29, 2006
5451 SIMMONS RIVER ROAD, MONTCALM, WV 24737(304) 589-3251(304) 589-5363 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2022, Mar 18, 2021 (2 updates tracked since 2021).

About Prudich Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUDICH MEDICAL CENTER (NPI 1043387327) is a healthcare organization registered as a federally qualified health center (fqhc) in Montcalm, West Virginia and active in the NPI registry since November 2006. The organization lists Rebecca Kish, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043387327
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBLUESTONE HEALTH ASSOCIATION, INC.
Location Address5451 SIMMONS RIVER ROADMontcalm, WV 24737
Mailing Address5451 Simmons River Rd.Montcalm, WV 24737 · (304) 589-3251 · Fax (304) 589-5363
Phone(304) 589-3251
Fax(304) 589-5363
Organization SubpartNo
Authorized OfficialRebecca KishCredentialing Specialist · (304) 431-5499
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1043387327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5451 SIMMONS RIVER ROAD, Montcalm, WV 24737
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Other Names 1

Doing Business AsPrudich Medical Center

Other Identifiers 4

OtherCD7656WV · Rr Mc
Medicaid0035334000WV
Other001706661WV · Bcbs
Medicaid0022360001WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluestone Health Association, Inc.'s NPI number?

The NPI number for Bluestone Health Association, Inc. is 1043387327. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Prudich Medical Center.

Where is Bluestone Health Association, Inc. located?

Bluestone Health Association, Inc. is located at 5451 Simmons River Road, Montcalm, WV 24737. The listed phone number is (304) 589-3251.

What is Bluestone Health Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Bluestone Health Association, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Bluestone Health Association, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluestone Health Association, Inc. was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.