Change Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Weirton, WV
NPI 1619503422 · NPPES record last updated Mar 13, 2020
Key facts
- NPI
- 1619503422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CHANGE INC
- Practice address
- 114 Taylor Ave
Weirton, WV 26062-4635 - Phone
- (304) 748-2828
- NPI assigned
- Mar 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Judy L Raveaux
- Title
- Ceo
- Phone
- (304) 797-7733
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Change Incorporated
Locations
3158 West St
Weirton, WV 26062
Phone (304) 797-7733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
114 Taylor Ave
Weirton, WV 26062-4635
Mailing address
3158 West St
Weirton, WV 26062-4637
Phone (304) 797-1210
Other providers in Weirton, WV
- Erin Frances Cavey
- Center for Foot and Ankle Care PC
- Center for Foot and Ankle Care, P.C.
- Matthew Ceran
- Dana Chandler
- Change Inc
- Change Inc Family Medical Care
- Change, Inc
- Change, Incorporated
- Change, Incorporated
All providers in Weirton, WV · Federally Qualified Health Center (FQHC) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.