Active NPI
Womencare, Inc
Doing business as Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WOMENCARE, INC
- Doing business as
- Familycare Health Centers
- Practice address
- 1220 Lee St E Ste 201
Charleston, WV 25301-1864 - Phone
- (304) 757-6999
- Fax
- (304) 201-5019
- NPI assigned
- Apr 28, 2021
- Last updated
- May 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Dianne Ray
- Title
- Credentialing Specialist
- Phone
- (304) 757-6999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
1220 Lee St E Ste 201
Charleston, WV 25301-1864
Mailing address
97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174106124 | Medicaid | WV |
Other names 1
- Familycare Health Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210902002880 | WV | Part A Provider - Federally Qualified Health Center (FQHC) | 4587568134 | Practice locations: Charleston, WV |
| O20211028001145 | WV | Part B Supplier - Clinic/Group Practice | 4587568134 |
Receives reassigned benefits from 56 practitioners 1 other NPI on this enrollment Practice locations: Charleston, WV; Hurricane, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174106124. Details of each certification follow.
Federally qualified health center certification: CCN 581810
- Legal name
- WOMENCARE INC
- Doing business as
- FAMILYCARE HEALTH CENTERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 2, 2021
- Last certification
- Sep 2, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 2, 1989 in WV
- Enrollment address
- 1220 Lee St E
Ste 201
Charleston, WV 25301-1864
Other NPIs with the same Medicare PAC ID 18
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1457008385
4587568134
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1619679008
4587568134
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
4587568134
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1770745036
4587568134
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1790276525
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
4587568134
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
4587568134
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1457008385
O20211028001145
National Provider Directory
National Provider Directory- Tax ID family
- Womencare Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
-
dba FamilyCare Health Centers
- Federally Qualified Health Center (FQHC)
- Madison, WV
- NPI 1659156982
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
-
dba PrescriptionCare by FamilyCare Health Centers
- Community/Retail Pharmacy
- Saint Albans, WV
- NPI 1396550729
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1447741236
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1457008385
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1619679008
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
Locations
830 Pennsylvania Ave
Ste 402
Charleston, WV 25302
Phone (304) 343-4177
301 Washington Ave
Rm 4
Dunbar, WV 25064
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bonnie J Ohara | Other | May 22, 2017 | |
| Timothy I Ickes | Other | Apr 28, 2014 | |
| Steven E Cunningham | Other | Oct 28, 2002 | |
| Leisha E Gibson | Other | Oct 28, 2002 | |
| Alfreda B Perry Dean | Other | Jan 23, 2006 | |
| Miri Hunter | Other | Feb 29, 2016 | |
| David Bumgarner | Other | May 18, 2020 | |
| Christopher Carew | Other | May 18, 2020 | |
| Craig Glover | Corporate Officer | Feb 11, 2019 | 100% |
| W-2 Managing Employee | Feb 11, 2019 |
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Care Health Center | Federally qualified health center | Operational/Managerial Control | Aug 15, 2011 |
| Familycare Health Center | Federally qualified health center | Operational/Managerial Control | Jun 2, 1989 |
| Familycare | Federally qualified health center | Operational/Managerial Control | Aug 1, 2012 |
| Familycare Healthcenter | Federally qualified health center | Operational/Managerial Control | Mar 1, 2016 |
| Familycare Health Center | Federally qualified health center | Operational/Managerial Control | Nov 1, 2017 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
Operational/Managerial Control
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
Operational/Managerial Control
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
Operational/Managerial Control
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
Operational/Managerial Control
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 60
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Parkersburg, WV
- NPI 1205209475
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1942967013
-
- Family Nurse Practitioner
- Hurricane, WV
- NPI 1457769523
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1295953065
-
- Pediatrics Physician
- Saint Albans, WV
- NPI 1700984366
-
- Primary Care Nurse Practitioner
- Morgantown, WV
- NPI 1275063604
-
- Psychologist
- Huntington, WV
- NPI 1609437896
-
- Nurse Practitioner
- Eleanor, WV
- NPI 1861083305
-
- Family Nurse Practitioner
- Hurricane, WV
- NPI 1083216287
-
- Clinical Psychologist
- Charleston, WV
- NPI 1437871035
-
- Registered Dietitian
- Nitro, WV
- NPI 1932756269
-
- Clinical Social Worker
- Charleston, WV
- NPI 1104408905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1174106124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609816",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 LEE ST E STE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011864",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "DIANNE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "304-757-6999"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174106124",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Familycare Health Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Familycare Health Centers",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charleston, WV
- Womencare Inc (FamilyCare Health Center - OB/GYN & Birth Center)
- Womencare Inc (FamilyCare)
- Womencare Inc (FamilyCare)
- Womencare Inc (FamilyCare Health Center)
- Womencare Inc (FamilyCare Health Centers)
- Womencare, Inc (FamilyCare HealthCenter)
- Womens Health Center of West Virginia Inc
- Joseph Lawrence Wonsettler, PA-C
- Ashley M Wood
- Carey Ann Wood, COTA LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.