Change Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Newell, WV
NPI 1174074686 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1174074686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CHANGE INCORPORATED
- Practice address
- 1151 Washington St
Newell, WV 26050 - Phone
- (304) 459-4010
- Fax
- (304) 797-7740
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Judy Raveaux
- Title
- Ceo
- Phone
- (304) 797-7733
Corporate family (same tax ID) 7
Practitioners 14
-
Amanda Barnett, NP-C
-
Diana Patricia Carmona, M.D.
-
Barbara Fahey, C.R.N.P.
-
Kelli L Fournier, MD
-
Mikayla McCune, PA-C
-
Lynn Marie Miller, NP-C
-
Kelly Shaw, DDS
-
Amy Spurrier, APRN, FNP-BC
-
Jessica Valesko, N.P
-
Manuel W Ballas, DO
-
Natalie Rae Holden, NP-C
-
Paul Henry Macdonald, M.D.
-
Tina Marie Tiberio, FNP-BC
National Provider Directory
- Tax ID family
- Change Incorporated
Locations
1151 Washington St
Newell, WV 26050
Phone (304) 459-4010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1151 Washington St
Newell, WV 26050
Mailing address
3158 West Street
Weirton, WV 26062
Phone (304) 459-4010
Other names
- Family Medical Care
Other providers in Newell, WV
- Amanda Barnett
- Buffy Blake
- Maria Lynn Caughey
- Cordelia Ruth Clark
- Shanna Hinerman
- Richard Markham Jr.
- Natalie May
- Mikayla McCune
All providers in Newell, WV · Federally Qualified Health Center (FQHC) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.