NPIMap

Organization Active NPI

Ritchie County Primary Care Assoc., Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Marys, WV
National Provider Identifier
1720104219
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.
Practice address
2330 N Pleasants Hwy
Saint Marys, WV 26170-5008
Phone
(855) 552-8907
NPI assigned
Mar 22, 2007
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 Primary

Addresses

Primary practice location

2330 N Pleasants Hwy
Saint Marys, WV 26170-5008

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3810008817MedicaidWV

Other names 2

  • Integrated Health Centers of West Virginia Doing business as
  • St. Mary's High School Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV3 enrollments

Enrollment records 3

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…
O20070112000513 WV Part A Provider - Federally Qualified Health Center (FQHC) 0244142453 1 other NPI on this enrollment
Practice locations: Saint Marys, WV
O20080729000000 WV Part B Supplier - Public Health/Welfare Agency 0244142453 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrisville, WV; West Union, WV

Federally qualified health center certification: CCN 511921

Legal name
RITCHIE COUNTY PRIMARY CARE ASSOC INC
Doing business as
ST MARY'S HIGH SCHOOL WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 16, 2007
Last certification
Feb 16, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1994 in WV
Enrollment address
2330 N Pleasants Hwy
Saint Marys, WV 26170-5008

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

Locations

1200 Stephenson Ave
Parkersburg, WV 26101
Phone (304) 420-5819

512 Collins Ave
Pennsboro, WV 26415

1002 2nd St
Saint Marys, WV 26170

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Iva Jones Individual Corporate Director Aug 1, 2006 10%
Michelle Taylor Individual Corporate Director Sep 18, 2017 10%
Lawrence Hasbargen Individual Corporate Director Feb 20, 2017
Walasha Newbrough Individual Corporate DirectorAccounting Manager Apr 1, 2008
W-2 Managing EmployeeAccounting Manager Apr 1, 2008
Amy Yokum Individual Corporate OfficerCeo May 15, 2020
W-2 Managing EmployeeCeo May 15, 2020
Joyce Cooper Individual Corporate Director Aug 20, 2018 10%
Michael Ring Individual Corporate Director Aug 1, 2006 10%
John Ditlow Individual Corporate Director Aug 20, 2018 10%
George Eidel Individual Corporate Director Oct 18, 2021
Julie Bertram Individual Corporate Director Nov 16, 2020
Debbie a Hileman Individual Corporate Director Apr 26, 2019 10%
Samuel Rogers Individual Corporate Director Sep 18, 2017 10%
Cynthia Burkhart Individual Corporate Director Jun 10, 2015 10%

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1720104219",
    "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",
            "fax_number": "304-643-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N PLEASANTS HWY",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261705008",
            "telephone_number": "855-552-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE COUNTY PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008817",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Centers of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Mary's High School Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, WV

Sources for this page

Verify at the official NPI Registry.