NPIMap

Womencare, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Eleanor, WV

NPI 1457783367 · NPPES record last updated May 24, 2022

Key facts

NPI
1457783367
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
WOMENCARE, INC
Practice address
300 Roosevelt Blvd
Eleanor, WV 25070-0000
Phone
(304) 380-7728
Fax
(304) 586-1301
NPI assigned
Aug 1, 2013
Organization subpart
No

Authorized official

Name
Julie Dianne Ray
Title
Credentialing Specialist
Phone
(304) 757-6999

Corporate family (same tax ID) 27

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

View all 27

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Womencare Inc Federally Qualified Health Center (FQHC) · Barboursville, WV · NPI 1447618327
    NPD member Member Of

Practitioners 1

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

National Provider Directory

Tax ID family
Womencare Inc (28 organizations share this tax ID)

Locations

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
511022OtherPART A PTAN
D204OtherPART B PTAN

Other names

  • FAMILYCARE HEALTH CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2022.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART A PTAN",
            "identifier": "511022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B PTAN",
            "identifier": "D204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILYCARE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eleanor, WV

All providers in Eleanor, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.