Family Medical Care Community Health Center

LBN: Change, Incorporated
Family Medical Care Community Health Center is an health care organization with primary practice located at 3136 West St , Weirton WV 26062-4635. 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 (304) 797-7733, or through Raveaux, Judy Lynn via phone (304) 797-7733.

Contact Information

Primary practice address
3136 West St Weirton WV 26062-4635
Phone: (304) 797-7733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raveaux, Judy Lynn
Phone: (304) 797-7733

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1245244367
LBN Legal business name Change, Incorporated
DBA Doing business as Family Medical Care Community Health Center
Authorized official Raveaux, Judy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 30th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245244367 NPPES
Ohio Other 2161000 CHANGE DBA FAMILY MEDICAL CARE CHC
Ohio MEDICAID 2733993 CHANGE DBA FAMILY MEDICAL CARE CHC
Ohio MEDICAID 3810007536 CHANGE DBA FAMILY MEDICAL CARE CHC
Ohio Other 361015 CHANGE DBA FAMILY MEDICAL CARE CHC
Ohio Other 2160961 CHANGE DBA FAMILY MEDICAL CARE CHC

Popular Providers