NPIMap

Organization Active NPI

Ritchie County Primary Care Assoc., Inc.

  • Federally Qualified Health Center (FQHC)
  • Davisville, WV
National Provider Identifier
1013762665
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RITCHIE COUNTY PRIMARY CARE ASSOC., INC.
Practice address
6465 Staunton Tpke RM 115
Davisville, WV 26142-8220
Phone
(304) 643-4005
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Walasha Newbrough
Title
Accounting Manager
Phone
(304) 643-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6465 Staunton Tpke RM 115
Davisville, WV 26142-8220

Mailing address

PO Box 41559
Belfast, ME 04915-1267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000082 WV Part B Supplier - Clinic/Group Practice 0244142453 Receives reassigned benefits from 26 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belmont, WV; West Union, WV; Smithville, WV; Saint Marys, WV; Pennsboro, WV; Parkersburg, WV; Harrisville, WV; Ellenboro, WV…
O20240821002975 WV Part A Provider - Federally Qualified Health Center (FQHC) 0244142453 Practice locations: Davisville, WV

Federally qualified health center certification: CCN 581049

Legal name
RITCHIE COUNTY PRIMARY CARE ASSOC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 9, 2024
Last certification
Aug 9, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 15, 1996 in WV
Enrollment address
6455 Staunton Tpke
RM 115
Davisville, WV 26142-8220

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Ritchie County Primary Care Association Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

6465 Staunton Tpke
Rm 115
Davisville, WV 26142

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Taylor Individual Corporate DirectorBoard Member Sep 18, 2017
Walasha Newbrough Individual Corporate DirectorAccounting Manager Jul 7, 2017
W-2 Managing EmployeeAccounting Manager Jul 7, 2017
Christopher Miller Individual Corporate DirectorBoard Member Jul 17, 2023
Amy Yokum Individual Corporate OfficerCeo Feb 2, 2020
W-2 Managing EmployeeCeo Feb 2, 2020
Michael Ring Individual Corporate DirectorBoard Member Aug 1, 2010
George Eidel Individual Corporate DirectorBoard Member Jul 1, 2022
Julie Bertram Individual Corporate DirectorBoard Member Nov 6, 2020
Debbie a Hileman Individual Corporate DirectorBoard Member Apr 26, 2019
Mary McDougal Individual Corporate DirectorBoard Member Jul 1, 2022
Janice Smitley Individual Corporate DirectorBoard Member Nov 1, 2022
Samuel Rogers Individual Corporate DirectorBoard Member Jul 1, 2022
Cynthia Burkhart Individual Corporate DirectorBoard Member Jun 10, 2015

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1013762665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41559",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 STAUNTON TPKE RM 115",
            "city": "DAVISVILLE",
            "state": "WV",
            "postal_code": "261428220",
            "telephone_number": "304-643-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE COUNTY PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "NEWBROUGH",
        "authorized_official_first_name": "WALASHA",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "304-643-4005"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davisville, WV

Sources for this page

Verify at the official NPI Registry.