NPIMap

Organization Active NPI

Ritchie County Primary Care Assoc., Inc.

Doing business as Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Pennsboro, WV
National Provider Identifier
1457042475
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
Practice address
512 Collins Ave RM C9
Pennsboro, WV 26415-1011
Phone
(304) 643-4005
NPI assigned
May 19, 2023
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
Ceo
Phone
(304) 643-4005

Specialties & licenses 1

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

Addresses

Primary practice location

512 Collins Ave RM C9
Pennsboro, WV 26415-1011

Mailing address

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

Other names 1

  • Integrated Health Centers of West Virginia Doing business as

Medicare participation

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

Enrollment records 2

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
This NPI is an additional NPI on the enrollment
Practice locations: Belmont, WV; West Union, WV; Smithville, WV; Saint Marys, WV; Pennsboro, WV; Parkersburg, WV; Harrisville, WV; Ellenboro, WV…
O20230726001420 WV Part A Provider - Federally Qualified Health Center (FQHC) 0244142453 Practice locations: Pennsboro, WV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1457042475. Details of each certification follow.

Federally qualified health center certification: CCN 581021

Legal name
RITCHIE COUNTY PRIMARY CARE ASSOC INC
Doing business as
CREED COLLINS ELEMENTARY SCHOOL-BASED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 23, 2023
Last certification
Aug 23, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 15, 1996 in WV
Enrollment address
512 Collins Ave
Pennsboro, WV 26415-1011

Federally qualified health center certification: CCN 511143

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RITCHIE REGIONAL HEALTH CENTER CREED COLLINS ELEM
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 9, 2018
Last certification
Apr 9, 2018
Ownership / control type
For profit – corporation
Facility address
512 Collins Avenue
Pennsboro, WV 26415

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

National Provider Directory

National Provider Directory
Tax ID family
Ritchie County Primary14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

512 Collins Ave
Pennsboro, WV 26415

512 Collins Ave
Rm C9
Pennsboro, WV 26415

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Michelle Taylor Individual Corporate DirectorBoard Member Sep 18, 2017
Walasha Newbrough Individual Corporate DirectorAccounting Manager Jul 7, 2017
W-2 Managing EmployeeAccounting Manager Jul 7, 2017
Amy Yokum Individual Corporate OfficerCeo Feb 2, 2020
W-2 Managing EmployeeCeo Feb 2, 2020
Michael Ring Individual Corporate DirectorBoard Member Aug 1, 2010
George Eidel Individual Corporate DirectorBoard Member Jul 1, 2022
Julie Bertram Individual Corporate DirectorBoard Member Nov 6, 2020
Debbie a Hileman Individual Corporate DirectorBoard Member Apr 26, 2019
Mary McDougal Individual Corporate DirectorBoard Member Jul 1, 2022
Janice Smitley Individual Corporate DirectorBoard Member Nov 1, 2022
Samuel Rogers Individual Corporate DirectorBoard Member Jul 1, 2022
Cynthia Burkhart Individual Corporate DirectorBoard Member Jun 10, 2015

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1457042475",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COLLINS AVE RM C9",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264151011",
            "telephone_number": "304-643-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE COUNTY PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "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": "CEO",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Centers of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennsboro, WV

Sources for this page

Verify at the official NPI Registry.