Active NPI
Womencare, Inc
Doing business as Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Eleanor, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WOMENCARE, INC
- Doing business as
- Familycare Health Center
- Practice address
- 300 Roosevelt Blvd
Eleanor, WV 25070-0000 - Phone
- (304) 380-7728
- Fax
- (304) 586-1301
- NPI assigned
- Aug 1, 2013
- 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 | Primary |
Addresses
Primary practice location
300 Roosevelt Blvd
Eleanor, WV 25070-0000
Mailing address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone (304) 757-6999
Other names 1
- FAMILYCARE HEALTH CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457783367. Details of each certification follow.
Federally qualified health center certification: CCN 511022
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
- FAMILYCARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 26, 2013
- Last certification
- Sep 26, 2013
- Ownership / control type
- For profit – corporation
- Facility address
- 300 Roosevelt Blvd
Eleanor, WV 25070
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)
- Charleston, WV
- NPI 1316228166
-
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
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- South Charleston, WV
- NPI 1982328548
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Saint Albans, WV
- NPI 1538535984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1457783367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609552",
"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": "300 ROOSEVELT BLVD",
"city": "ELEANOR",
"state": "WV",
"postal_code": "250700000",
"telephone_number": "304-380-7728",
"fax_number": "304-586-1301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILYCARE HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eleanor, WV
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.