Ralph A Church

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

321 Church LN
Ronceverte, WV 24970-8082

Phone

(304) 647-9960

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2021.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1225600620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CHURCH LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708082",
            "telephone_number": "304-647-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CHURCH LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708082",
            "telephone_number": "304-647-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "RALPH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Centa, PA-C
• Samantha L Chaffin, M.D.
• Charleston Area Medical Center, Inc.
• Jo Ann Chestnut, PRSS
• Christopher J Rodebaugh, DDS Inc
• Heather Marie Clawges, M.D.
• Jessica Cochran, CRNA
• Jeffrey Coleman, MPT
• Misty Rose Comer
• Amanda Cornwell, PA

• All providers in Ronceverte, WV
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.