Active NPI
Womencare Inc
Doing business as FamilyCare Health Center - Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WOMENCARE INC
- Doing business as
- FamilyCare Health Center - Hurricane
- Practice address
- 3911 Teays Valley Rd
Hurricane, WV 25526-9604 - Phone
- (304) 757-4845
- NPI assigned
- Oct 23, 2019
- Last updated
- May 24, 2022
- Organization subpart
- Yes
- Parent organization
- WOMENCARE INC
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 | Primary |
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 1
- FamilyCare Health Center - Hurricane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962045948. Details of each certification follow.
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
- Enrollment address
- 3911 Teays Valley Rd
Hurricane, WV 25526-9604
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
National Provider Directory
National Provider Directory- Tax ID family
- Womencare Inc
- Part of
- 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
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bonnie J Ohara | Corporate Officer | May 1, 2017 | |
| Steven E Cunningham | Corporate Officer | Oct 1, 2002 | |
| Kelsey Clough | Corporate Officer | Jun 28, 2021 | |
| Alfreda B Perry Dean | Corporate Officer | Jan 1, 2006 | |
| Rebecca Ratliff | Corporate Officer | Dec 1, 2015 | |
| David Bumgarner | Corporate Officer | May 1, 2020 | |
| Christopher Carew | Corporate Officer | May 18, 2020 | |
| Susan C Scouras | Corporate Officer | Sep 1, 2017 | |
| Julie a Pratt | Corporate Officer | Apr 1, 2017 | |
| Craig Glover | Corporate Officer | Feb 11, 2019 | |
| W-2 Managing Employee | 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.
| 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 104
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
- Charleston, WV
- NPI 1942967013
-
- Family Nurse Practitioner
- Hurricane, WV
- NPI 1457769523
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1295953065
-
- Pediatrics Physician
- Saint Albans, WV
- NPI 1700984366
-
- Psychologist
- Huntington, WV
- NPI 1609437896
-
- Nurse Practitioner
- Eleanor, WV
- NPI 1861083305
-
- Family Nurse Practitioner
- Hurricane, WV
- NPI 1083216287
-
- Physician Assistant
- Scott Depot, WV
- NPI 1326394263
-
- Clinical Psychologist
- Charleston, WV
- NPI 1437871035
-
- Registered Dietitian
- Nitro, WV
- NPI 1932756269
-
- Clinical Social Worker
- Charleston, WV
- NPI 1104408905
-
- Pediatrics Physician
- Scott Depot, WV
- NPI 1366420614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1962045948",
"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": "304-757-6999",
"fax_number": "304-201-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269604",
"telephone_number": "304-757-4845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WOMENCARE INC",
"enumeration_date": "2019-10-23",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FamilyCare Health Center - Hurricane",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FamilyCare Health Center - Hurricane",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hurricane, 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.