NPIMap

Organization Active NPI

Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
National Provider Identifier
1316228166
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2257-5026 Issued in WV
Legal business name
WOMENCARE INC
Practice address
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone
(304) 414-1899
Fax
(304) 414-1886
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
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 identifiers 2

IdentifierTypeStateIssuer
1316228166MedicaidWV
3810024290MedicaidWV

Other names 1

  • FamilyCare Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

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
CorporationNon-profit
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).

View all 18

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Womencare Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

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.

NameRoleSinceShare
Bonnie J Ohara Individual Corporate DirectorBoard Member May 22, 2017
Steven E Cunningham Individual Corporate DirectorBoard Member Jul 8, 2011
Sheryn Carey Individual Corporate Officer May 18, 2020
Kelsey Clough Individual Corporate Officer Jun 28, 2021
Alfreda B Perry Dean Individual Corporate DirectorBoard Member Nov 8, 2011
Rebecca Ratliff Individual Corporate DirectorBoard Member Feb 22, 2016
Womencare Inc Organization, Scott Depot, WV Corporation, Non-profit Operational/Managerial Control Jun 2, 1989
David Bumgarner Individual Corporate DirectorBoard Member May 18, 2020
Christopher Carew Individual Corporate DirectorBoard Member May 18, 2020
Susan C Scouras Individual Corporate DirectorBoard Member Jul 8, 2011
Julie a Pratt Individual Corporate DirectorBoard Member Apr 24, 2017
Craig Glover Individual Corporate OfficerCeo Feb 11, 2019
W-2 Managing EmployeeCeo Feb 11, 2019
Operational/Managerial ControlCeo 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.

View all 18

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Care Health CenterCharleston, WV, CCN 511974 Federally qualified health center Operational/Managerial Control Aug 15, 2011
FamilycareSaint Albans, WV, CCN 511985 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Familycare HealthcenterBarboursville, WV, CCN 511095 Federally qualified health center Operational/Managerial Control Mar 1, 2016
Familycare Health CenterDunbar, WV, CCN 511135 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.

  • Womencare Inc
    • Federally Qualified Health Center (FQHC)
    • Barboursville, WV
    • NPI 1447618327

    Operational/Managerial Control

    CMS ownership
  • Womencare Inc
    • Federally Qualified Health Center (FQHC)
    • Dunbar, WV
    • NPI 1578073706

    Operational/Managerial Control

    CMS ownership
  • Womencare Inc
    • Federally Qualified Health Center (FQHC)
    • Charleston, WV
    • NPI 1871872184

    Operational/Managerial Control

    CMS ownership
  • Womencare Inc
    • Federally Qualified Health Center (FQHC)
    • Saint Albans, WV
    • NPI 1902166945

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316228166",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024290",
            "state": "WV"
        }
    ],
    "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

Sources for this page

Verify at the official NPI Registry.