MEDICARE: LEVI ROBERTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		WV

General Provider Information

NPI Number	:	1609366798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEVI ROBERTS

Provider Business Mailing Address
First Line	:	RR 2 BOX 450A
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9605
Country	:	US
Telephone Number	:	304-633-8510
Fax Number	:

Provider Business Practice Location Address
First Line	:	4779 GUYAN RIVER RD
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559
Country	:	US
Telephone Number	:	304-733-1112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	05/14/2018

Similar Medicare Providers

1942509856 — LINCOLN COUNTY PRIMARY CARE CENTER, INC
Practice Location Address:

5490 STATE ROUTE 10
SALT ROCK, WV
25559-9736

Practice Phone: 304-824-5806
Practice Fax: 304-824-5804

1427661016 — LEONARD RUSSELL LUCAS
Practice Location Address:

RR 1 BOX 350
SALT ROCK, WV
25559-9733

Practice Phone: 304-208-4920
Practice Fax:

1205440393 — SARA ELISABETH SIMMONS
Practice Location Address:

744 RT 2
SALT ROCK, WV
25559-9761

Practice Phone: 304-360-9502
Practice Fax:

1376146605 — CAYLA CLAIRE BOWEN
Practice Location Address:

3433 HINCHMAN BEND ROAD
SALT ROCK, WV
25559

Practice Phone: 681-204-5658
Practice Fax:

1225623176 — APRIL FLAUGHER
Practice Location Address:

5266 ROBIN LANE
SALT ROCK, WV
25559

Practice Phone: 304-208-3669
Practice Fax:

1538746037 — KARRAH D SMITH
Practice Location Address:

5495 CHILDERS LANE
SALT ROCK, WV
25559

Practice Phone: 304-208-3006
Practice Fax:

Directions to “ LEVI ROBERTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.