Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coal River Primary Care and Wellness Center LLC

Organization Family Medicine Physician · NPI 1487284451

Coal River Primary Care and Wellness Center LLC is a Family Medicine Physician in Nellis, West Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

62 Fork Creek Rd
Nellis, WV 25142-9737
Phone: (304) 833-0815
Fax: (304) 833-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X

Record details

NPI number1487284451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Barker — Sole Owner; Fnp-Bc · (304) 833-0815
Other names Coal River Primary; Coal River Primary
NPI enumeratedJanuary 18, 2020
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address62 Fork Creek Rd, Nellis, WV 25142-9737