Active NPI
Womencare Inc
Doing business as FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 2257-5026
- Legal business name
- WOMENCARE INC
- Doing business as
- FamilyCare Health Center
- Practice address
- 800 Pennsylvania Ave
Charleston, WV 25302-3351 - Phone
- (304) 414-1899
- Fax
- (304) 414-1886
- NPI assigned
- Sep 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 2257-5026 | WV | Primary |
Addresses
Primary practice location
800 Pennsylvania Ave
Charleston, WV 25302-3351
Mailing address
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999
Other names 1
- FamilyCare Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000177 | WV | Part B Supplier - Clinic/Group Practice | 4587568134 |
Receives reassigned benefits from 86 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madison, WV; Winfield, WV; Scott Depot, WV; Charleston, WV; Eleanor, WV |
| O20120726000149 | WV | Part A Provider - Federally Qualified Health Center (FQHC) | 4587568134 | Practice locations: Charleston, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316228166. Details of each certification follow.
Federally qualified health center certification: CCN 511983
- Legal name
- WOMENCARE INC
- Doing business as
- FAMILYCARE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 26, 2012
- Last certification
- Jul 26, 2012
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 2, 1989 in WV
- Enrollment address
- 800 Pennsylvania Ave
Charleston, WV 25302-3351
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)
- 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
-
dba FamilyCare Health Center - Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1962045948
4587568134
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
O20031125000177
-
dba FamilyCare Health Centers
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1003085903
O20031125000177
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)
- 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
-
dba FamilyCare Health Center - OB/GYN & Birth Center
- Obstetrics & Gynecology Physician
- Charleston, WV
- NPI 1750847489
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bonnie J Ohara | Corporate Director | May 22, 2017 | |
| Steven E Cunningham | Corporate Director | Jul 8, 2011 | |
| Sheryn Carey | Corporate Officer | May 18, 2020 | |
| Kelsey Clough | Corporate Officer | Jun 28, 2021 | |
| Alfreda B Perry Dean | Corporate Director | Nov 8, 2011 | |
| Rebecca Ratliff | Corporate Director | Feb 22, 2016 | |
| Womencare Inc | Operational/Managerial Control | Jun 2, 1989 | |
| David Bumgarner | Corporate Director | May 18, 2020 | |
| Christopher Carew | Corporate Director | May 18, 2020 | |
| Susan C Scouras | Corporate Director | Jul 8, 2011 | |
| Julie a Pratt | Corporate Director | Apr 24, 2017 | |
| Craig Glover | Corporate Officer | Feb 11, 2019 | |
| W-2 Managing Employee | Feb 11, 2019 | ||
| Operational/Managerial Control | Feb 11, 2019 | 100% |
Owners & managing parties with NPI records 18
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
Operational/Managerial Control
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
Operational/Managerial Control
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
Operational/Managerial Control
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1457008385
Operational/Managerial Control
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
Operational/Managerial Control
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1619679008
Operational/Managerial Control
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
Operational/Managerial Control
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1770745036
Operational/Managerial Control
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1790276525
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
-
dba FamilyCare Health Center - Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1962045948
Operational/Managerial Control
All facility ownership & control disclosures 4
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 | 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 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
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
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
Womencare Inc
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
Womencare Inc
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
Womencare Inc
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
Womencare Inc
Practitioners & affiliated clinicians
Practitioners 35
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
- Charleston, WV
- NPI 1942967013
-
- Psychologist
- Scott Depot, WV
- NPI 1245605393
-
- Pediatrics Physician
- Charleston, WV
- NPI 1912144361
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1295953065
-
- Registered Dietitian
- Nitro, WV
- NPI 1932756269
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1366420614
-
- Pediatrics Physician
- Madison, WV
- NPI 1801232277
-
- Pediatrics Physician
- Charleston, WV
- NPI 1467541680
-
- Physician Assistant
- Saint Albans, WV
- NPI 1740476357
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1770145435
-
- Family Nurse Practitioner
- Scott Depot, WV
- NPI 1114150398
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1720430499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1316228166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 GREAT TEAYS BLVD",
"address_2": "STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609815",
"telephone_number": "304-757-6999",
"fax_number": "304-757-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "304-414-1899",
"fax_number": "304-414-1886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"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": "WV",
"license": "2257-5026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FamilyCare Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FamilyCare Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charleston, WV
- Samantha Wolfe
- Sydney Wolfe
- Kasandra Wolfenbarker
- Sharon Wolford
- Women's Health Center of WV, Inc (Right From The Start)
- Womencare Inc (FamilyCare HealthCenter)
- Womencare Inc (FamilyCare HealthCenter)
- Womencare Inc (FamilyCare Health Center - OB/GYN & Birth Center)
- Womencare Inc (FamilyCare)
- Womencare Inc (FamilyCare)
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.