NPIMap

Organization Active NPI

Ritchie County Primary Care Assoc., Inc.

Doing business as Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Harrisville, WV
National Provider Identifier
1265404230
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.
Doing business as
Integrated Health Centers of West Virginia
Ritchie Regional Health Center
Practice address
135 South Penn Ave
Harrisville, WV 26362
Phone
(304) 643-4005
Fax
(304) 643-4007
NPI assigned
Feb 3, 2006
Last updated
Nov 18, 2025By the provider in NPPES
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
Amy Yokum
Title
Chief Executive Officer
Phone
(304) 643-4005

Specialties & licenses 1

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

Addresses

Primary practice location

135 South Penn Ave
Harrisville, WV 26362

Mailing address

PO Box 41559
Belfast, ME 04915-1267
Phone (304) 643-4005

Other identifiers 1

IdentifierTypeStateIssuer
0010373004MedicaidWV

Other names 2

  • Integrated Health Centers of West Virginia Doing business as
  • Ritchie Regional Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV4 enrollments

Enrollment records 4

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
Practice locations: Belmont, WV; West Union, WV; Smithville, WV; Saint Marys, WV; Pennsboro, WV; Parkersburg, WV; Harrisville, WV; Ellenboro, WV…
O20070112000513 WV Part A Provider - Federally Qualified Health Center (FQHC) 0244142453 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Marys, WV
O20080729000000 WV Part B Supplier - Public Health/Welfare Agency 0244142453 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
Practice locations: Harrisville, WV; West Union, WV
O20100825000124 WV Part A Provider - Federally Qualified Health Center (FQHC) 0244142453 Practice locations: Harrisville, WV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1265404230. Details of each certification follow.

Federally qualified health center certification: CCN 511921

Legal name
RITCHIE COUNTY PRIMARY CARE ASSOC INC
Doing business as
ST MARY'S HIGH SCHOOL WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 16, 2007
Last certification
Feb 16, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1994 in WV
Enrollment address
2330 N Pleasants Hwy
Saint Marys, WV 26170-5008

Federally qualified health center certification: CCN 511870

Legal name
RITCHIE COUNTY PRIMARY CARE ASSOC INC
Doing business as
RITCHIE REGIONAL HEALTH CENTER - HARRISVILLE CAMPUS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 7, 1999
Last certification
Jan 7, 1999
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 15, 1996 in WV
Enrollment address
135 S Penn Ave
Harrisville, WV 26362-1371

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0929097Integrated Health Center of West Virginia135 South Penn Avenue, Harrisville, WV 26362Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Iva Jones Individual Corporate Director Aug 1, 2006 10%
Corporate DirectorBoard Member Aug 1, 2010
Michelle Taylor Individual Corporate Director Sep 18, 2017 10%
Corporate DirectorBoard Member Sep 18, 2017
Lawrence Hasbargen Individual Corporate Director Feb 20, 2017
Corporate DirectorBoard Member Feb 20, 2017
Walasha Newbrough Individual Corporate DirectorAccounting Manager Apr 1, 2008
W-2 Managing EmployeeAccounting Manager Apr 1, 2008
Corporate DirectorAccounting Manager Jul 7, 2017
W-2 Managing EmployeeAccounting Manager Jul 7, 2017
Amy Yokum Individual Corporate OfficerCeo May 15, 2020
W-2 Managing EmployeeCeo May 15, 2020
Corporate OfficerCeo Feb 2, 2020
W-2 Managing EmployeeCeo Feb 2, 2020
Joyce Cooper Individual Corporate Director Aug 20, 2018 10%
Corporate DirectorBoard Member Aug 20, 2018
Michael Ring Individual Corporate Director Aug 1, 2006 10%
Corporate DirectorBoard Member Aug 1, 2010
John Ditlow Individual Corporate Director Aug 20, 2018 10%
Corporate DirectorBoard Member Aug 20, 2018
George Eidel Individual Corporate Director Oct 18, 2021
Corporate DirectorBoard Member Oct 18, 2021
Julie Bertram Individual Corporate Director Nov 16, 2020
Corporate DirectorBoard Member Nov 16, 2020
Debbie a Hileman Individual Corporate Director Apr 26, 2019 10%
Corporate DirectorBoard Member Apr 26, 2019
Samuel Rogers Individual Corporate Director Sep 18, 2017 10%
Corporate DirectorBoard Member Sep 18, 2017
Cynthia Burkhart Individual Corporate Director Jun 10, 2015 10%
Corporate DirectorBoard Member Jun 10, 2015

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1265404230",
    "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",
            "telephone_number": "304-643-4005",
            "fax_number": "304-643-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SOUTH PENN AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "26362",
            "telephone_number": "304-643-4005",
            "fax_number": "304-643-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE COUNTY PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "YOKUM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-643-4005"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010373004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Centers of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ritchie Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisville, WV

Sources for this page

Verify at the official NPI Registry.