Ritchie County Primary Care Assoc., Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Smithville, WV
NPI 1831880863 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1831880863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- RITCHIE COUNTY PRIMARY CARE ASSOC., INC.
- Practice address
- 157 Main Street
Smithville, WV 26178 - Phone
- (304) 643-4005
- NPI assigned
- May 19, 2023
- Organization subpart
- No
Authorized official
- Name
- Amy Yokum
- Title
- Ceo
- Phone
- (304) 643-4005
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 13
Practitioners 15
-
Lucas Henger, PA
-
Harvey L. West, MSW LICSW
-
Saad Ullah Butt, MD
-
Chandra Dee Diebold, CRNP
-
Rachel Heasley, FNP-C
-
Tana Renee Kevak, FNP
-
Jasen Ralph Nichols, M.A.
-
Andrea Nicole Snyder, APRN
-
Sandra Ellen Swisher, FNP BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Federally qualified health center certification: CCN 581022
- Legal name
- RITCHIE COUNTY PRIMARY CARE ASSOC INC
- Doing business as
- SMITHVILLE SCHOOL BASED HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 25, 2023
- Last certification
- Aug 25, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 15, 1996 in WV
- Enrollment address
- 157 Main Street
Smithville, WV 26178
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle Taylor |
Corporate Director |
Sep 18, 2017 | |
| Walasha Newbrough |
Corporate Director |
Jul 7, 2017 | |
| W-2 Managing Employee |
Jul 7, 2017 | ||
| Amy Yokum |
Corporate Officer |
Feb 2, 2020 | |
| W-2 Managing Employee |
Feb 2, 2020 | ||
| Michael Ring |
Corporate Director |
Aug 1, 2010 | |
| George Eidel |
Corporate Director |
Jul 1, 2022 | |
| Julie Bertram |
Corporate Director |
Nov 6, 2020 | |
| Debbie a Hileman |
Corporate Director |
Apr 26, 2019 | |
| Mary McDougal |
Corporate Director |
Jul 1, 2022 | |
| Janice Smitley |
Corporate Director |
Nov 1, 2022 | |
| Samuel Rogers |
Corporate Director |
Jul 1, 2022 | |
| Cynthia Burkhart |
Corporate Director |
Jun 10, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20231003000379 | WV | Part a Provider - Federally Qualified Health Center (FQHC) | 0244142453 | Practice locations: Smithville, WV |
National Provider Directory
- Tax ID family
- Ritchie County Primary Care Association Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
157 Main Street
Smithville, WV 26178
Mailing address
PO Box 41559
Belfast, ME 04915-1267
Phone (304) 643-4005
Other names
- Integrated Health Centers of West Virginia
- Smithville School Based Health Center
Other providers in Smithville, WV
All providers in Smithville, 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 Nov 18, 2025. 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.