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Womencare Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Hurricane, WV

NPI 1962045948 · NPPES record last updated May 24, 2022

Key facts

NPI
1962045948
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
WOMENCARE INC
Practice address
3911 Teays Valley Rd
Hurricane, WV 25526-9604
Phone
(304) 757-4845
NPI assigned
Oct 23, 2019
Organization subpart
Yes
Parent organization (as reported)
WOMENCARE INC

Authorized official

Name
Julie Dianne Ray
Title
Credentialing Specialist
Phone
(304) 757-6999

Owned or controlled facilities with NPI records 5

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

  • Womencare Inc Federally Qualified Health Center (FQHC) · Charleston, WV · NPI 1316228166
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Womencare Inc Federally Qualified Health Center (FQHC) · Barboursville, WV · NPI 1447618327
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Womencare Inc Federally Qualified Health Center (FQHC) · Dunbar, WV · NPI 1578073706
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Womencare Inc Federally Qualified Health Center (FQHC) · Charleston, WV · NPI 1871872184
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Womencare Inc Federally Qualified Health Center (FQHC) · Saint Albans, WV · NPI 1902166945
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL

Other NPIs with the same Medicare PAC ID 18

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

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners 112

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

View all 112

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WV

Federally qualified health center certification: CCN 581836

Legal name
WOMENCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 25, 2022
Last certification
Aug 25, 2022
Ownership / control type
For profit – corporation
Organization structure
Other · Non-profit
Enrollment address
3911 Teays Valley Rd
Hurricane, WV 25526-9604

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Bonnie J Ohara
Individual 		Corporate Officer May 1, 2017
Steven E Cunningham
Individual 		Corporate Officer Oct 1, 2002
Kelsey Clough
Individual 		Corporate Officer Jun 28, 2021
Alfreda B Perry Dean
Individual 		Corporate Officer Jan 1, 2006
Rebecca Ratliff
Individual 		Corporate Officer Dec 1, 2015
David Bumgarner
Individual 		Corporate Officer May 1, 2020
Christopher Carew
Individual 		Corporate Officer May 18, 2020
Susan C Scouras
Individual 		Corporate Officer Sep 1, 2017
Julie a Pratt
Individual 		Corporate Officer Apr 1, 2017
Craig Glover
Individual 		Corporate Officer
President & Ceo		 Feb 11, 2019
W-2 Managing Employee
President & Ceo		 Feb 11, 2019

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Family Care Health Center
Charleston, WV · CCN 511974		 Federally qualified health center Operational/Managerial Control Aug 15, 2011
Familycare Health Center
Charleston, WV · CCN 511983		 Federally qualified health center Operational/Managerial Control Jun 2, 1989
Familycare
Saint Albans, WV · CCN 511985		 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Familycare Healthcenter
Barboursville, WV · CCN 511095		 Federally qualified health center Operational/Managerial Control Mar 1, 2016
Familycare Health Center
Dunbar, WV · CCN 511135		 Federally qualified health center Operational/Managerial Control Nov 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220526002680 WV Part B Supplier - Clinic/Group Practice 4587568134 Receives reassigned benefits from 39 practitioners
Practice locations: Hurricane, WV
O20220825004363 WV Part a Provider - Federally Qualified Health Center (FQHC) 4587568134 Practice locations: Hurricane, WV

National Provider Directory

Tax ID family
Womencare Inc (28 organizations share this tax ID)
Part of
Womencare Inc

Locations

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

Specialties & licenses

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

Addresses

Primary practice location

3911 Teays Valley Rd
Hurricane, WV 25526-9604

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other names

  • FamilyCare Health Center - Hurricane Doing business as

Other providers in Hurricane, WV

All providers in Hurricane, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.