Active NPI
Womencare, Inc
- Federally Qualified Health Center (FQHC)
- Madison, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WOMENCARE, INC
- Practice address
- 515 Main St
Madison, WV 25130-1417 - Phone
- (304) 369-0393
- NPI assigned
- Mar 3, 2008
- 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 | NU | Primary |
Addresses
Primary practice location
515 Main St
Madison, WV 25130-1417
Mailing address
97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-9999
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011881 | Medicaid | WV | |
| 1740450089 | Medicaid | WV | |
| C15043 | Other | WV | RR MEDICARE GROUP |
| 001710198 | Other | WV | MS BCBS |
| 001710197 | Other | WV | MS BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061127000170 | WV | Part A Provider - Federally Qualified Health Center (FQHC) | 4587568134 | Practice locations: Madison, WV |
| O20080807000128 | WV | Part B Supplier - Public Health/Welfare Agency | 4587568134 |
Receives reassigned benefits from 116 practitioners 10 other NPIs on this enrollment Practice locations: Charleston, WV; Eleanor, WV; Madison, WV; Saint Albans, WV; Winfield, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740450089. Details of each certification follow.
Federally qualified health center certification: CCN 511917
- Legal name
- WOMENCARE INC
- Doing business as
- FAMILYCARE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 7, 2007
- Last certification
- Feb 7, 2007
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 2, 1989 in WV
- Enrollment address
- 515 Main St
Madison, WV 25130-1417
Other NPIs with the same Medicare PAC ID 18
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1457008385
4587568134
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
4587568134
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1619679008
4587568134
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
4587568134
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1770745036
4587568134
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1790276525
4587568134
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
4587568134
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
4587568134
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba FamilyCare
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1477834216
O20080807000128
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
O20080807000128
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
O20080807000128
-
dba FamilyCare Health Centers
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1003085903
O20080807000128
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1972773224
O20080807000128
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
Locations
1500 Greenbrier St
Ste 160
Charleston, WV 25311
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bonnie J Ohara | Corporate Director | May 22, 2017 | |
| Steven E Cunningham | Corporate Director | Oct 28, 2002 | |
| Alfreda B Perry Dean | Corporate Director | Jan 23, 2006 | |
| Rebecca Ratliff | Corporate Director | Dec 21, 2015 | |
| David Bumgarner | Corporate Director | May 18, 2020 | |
| Christopher Carew | Corporate Director | May 18, 2020 | |
| Susan C Scouras | Corporate Director | Sep 24, 2007 | |
| Julie a Pratt | Corporate Director | Apr 24, 2017 | |
| Craig Glover | Corporate Officer | Feb 11, 2019 | |
| W-2 Managing Employee | Feb 11, 2019 | ||
| Operational/Managerial Control | Feb 11, 2019 | 100% |
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Care Health Center | Federally qualified health center | Operational/Managerial Control | Aug 15, 2011 |
| Familycare Health Center | Federally qualified health center | Operational/Managerial Control | Jun 2, 1989 |
| Familycare | Federally qualified health center | Operational/Managerial Control | Aug 1, 2012 |
| Familycare Healthcenter | Federally qualified health center | Operational/Managerial Control | Mar 1, 2016 |
| Familycare Health Center | Federally qualified health center | Operational/Managerial Control | Nov 1, 2017 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
Operational/Managerial Control
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
Operational/Managerial Control
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
Operational/Managerial Control
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
Operational/Managerial Control
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 120
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.
-
- Family Nurse Practitioner
- Saint Albans, WV
- NPI 1659159564
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1356020051
-
- Family Nurse Practitioner
- Saint Albans, WV
- NPI 1215284492
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1942967013
-
- Psychologist
- Scott Depot, WV
- NPI 1245605393
-
- Family Nurse Practitioner
- Hurricane, WV
- NPI 1457769523
-
- Family Nurse Practitioner
- South Charleston, WV
- NPI 1568958619
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1295953065
-
- Pediatrics Physician
- Saint Albans, WV
- NPI 1700984366
-
- Physician Assistant
- Saint Albans, WV
- NPI 1538535984
-
- Primary Care Nurse Practitioner
- Morgantown, WV
- NPI 1275063604
-
- Dentist
- Charleston, WV
- NPI 1215907290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1740450089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609816",
"telephone_number": "304-757-9999",
"fax_number": "304-201-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MAIN ST",
"city": "MADISON",
"state": "WV",
"postal_code": "251301417",
"telephone_number": "304-369-0393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011881",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740450089",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "C15043",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BCBS",
"identifier": "001710198",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BCBS",
"identifier": "001710197",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, 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.