NPIMap

Organization Active NPI

Wirt County Health Services Association, Inc

Doing business as Parkersburg Family Care-Westbrook

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
National Provider Identifier
1750868675
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Doing business as
Parkersburg Family Care-Westbrook
Practice address
2121 7TH St
Parkersburg, WV 26101-3803
Phone
(304) 485-1721
Fax
(304) 428-2597
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki Lynn Knicely
Title
Billing/Credentialing Coordinator
Phone
(304) 275-3301

Specialties & licenses 1

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

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 1

  • Parkersburg Family Care-Westbrook Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

73 Nicolette Rd
Parkersburg, WV 26104
Phone (304) 861-4141

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ripley Family MedicineRipley, WV, CCN 511933 Federally qualified health center Operational/Managerial Control Jul 17, 1978
Wirt County Health Services Association, IncParkersburg, WV, CCN 581818 Federally qualified health center Operational/Managerial Control Oct 13, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1750868675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 7TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013803",
            "telephone_number": "304-485-1721",
            "fax_number": "304-428-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "KNICELY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "304-275-3301"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkersburg Family Care-Westbrook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkersburg Family Care-Westbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.