Fmc Sbhc - Brooke Complex

LBN: Change Incorporated
Fmc Sbhc - Brooke Complex is an health care organization with primary practice located at 29 Bruin Dr , Wellsburg WV 26070-3064. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Change Incorporated can be contacted via phone (047) 977-7333, or through Raveaux, Judy L via phone (304) 797-7733.

Contact Information

Primary practice address
29 Bruin Dr Wellsburg WV 26070-3064
Phone: (047) 977-7333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raveaux, Judy L
Phone: (304) 797-7733

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 2271-6959 West Virginia

Profile Details

NPI number 1063918472
LBN Legal business name Change Incorporated
DBA Doing business as Fmc Sbhc - Brooke Complex
Authorized official Raveaux, Judy L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2018
Last updated Apr 4th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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