Wirt County Health Services Association, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Parkersburg, WV
NPI 1750868675 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1750868675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
- Practice address
- 2121 7TH St
Parkersburg, WV 26101-3803 - Phone
- (304) 485-1721
- Fax
- (304) 428-2597
- NPI assigned
- Jul 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Vicki Lynn Knicely
- Title
- Billing/Credentialing Coordinator
- Phone
- (304) 275-3301
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 10
Practitioners 40
-
Ashley M Blanc, MA
-
Miranda Sue Boso, C-FNP
-
Richard Edward Cain, M.D.
-
Sarah L. Casseday, LPC
-
Erica Elaine Conant, FNP
-
Nancy Rose Creighton, LPC, ALPS
-
Elizabeth Cruger, LPC
-
Ruth A Full, PA-C
-
Rachael Yoder Jarvis, LICSW
-
Shirin M Morad, DO
-
Cami Myers, FNP-C
-
Darrin Earl Nichols, M.D.
-
Mary Frances Treadway, FNP-BC
-
Kenna Lea Wagner, MSN, APRN, FNP-BC
-
Richard W Watson, M.D.
-
Junetta A Maynard, FNP-BC
-
Leann McKay Williams, PA-C
-
Tina R Creighton, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Ripley Family Medicine |
Federally qualified health center | Operational/Managerial Control | Jul 17, 1978 |
| Wirt County Health Services Association, Inc |
Federally qualified health center | Operational/Managerial Control | Oct 13, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210712001019 | WV | Part B Supplier - Clinic/Group Practice | 7810806577 |
Receives reassigned benefits from 27 practitioners 1 other NPI on this enrollment Practice locations: Parkersburg, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2121 7TH St
Parkersburg, WV 26101-3803
Mailing address
PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301
Other names
- Parkersburg Family Care-Westbrook
Other providers in Parkersburg, WV
- Wirt County Health Services Association Inc
- Wirt County Health Services Association Inc
- Wirt County Health Services Association Inc
- Wirt County Health Services Association Inc
- Wirt County Health Services Association, Inc
- Wirt County Health Services Association, Inc
- Wirt County Health Services Association, Inc
- Kadence Wise
- Heather Wiseman
- Emily Withrow
All providers in Parkersburg, 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 Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.