RITCHIE COUNTY PRIMARY CARE ASSOC INC (NPI# 1093225385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093225385 |
| Entity Type | Organization |
| Organization Name | RITCHIE COUNTY PRIMARY CARE ASSOC INC |
| Other Organization Name | RITCHIE REGIONAL HEALTH CENTER-ELLENBORO ELEMENTARY |
| Practice Address |
100 School St Ellenboro WV 26346 |
| Mailing Address |
Po Box 373 Harrisville WV 26362-0373 |
| Practice Telephone | 3046434005 |
| Practice Fax Number | 3046434007 |
| Mailing Telephone | 3046434005 |
| Mailing Fax Number | 3046434007 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-11-10 |
| Authorized Official Name | KIMBERLY M STUTLER (BILLING CLERK) |
| Authorized Official Telephone | 3046434005 |
| Is Organization Subpart | Y |
| Parent Organization Name | RITCHIE COUNTY PRIMARY CARE ASSOC INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ritchie Regional Health Center-Ellenboro Elementary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356851588 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 79 Bulldog Dr, West Union, WV 26456-8000 | 2017-10-02 |
| 1356850655 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 512 Collins Ave, Pennsboro, WV 26415-1011 | 2017-09-29 |
| 1568719458 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 1513 Blizzard Drive, Parkersburg, WV 26101 | 2012-08-09 |
| 1790953412 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 190 Marie St, West Union, WV 26456-1132 | 2008-02-15 |
| 1518083070 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 107 Ritchie Co School Road, Ellenboro, WV 26346 | 2007-03-22 |
| 1700900818 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 1200 Stephenson Ave, Parkersburg, WV 26101-4889 | 2007-03-16 |
| 1518477892 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 157 Main St, Smithville, WV 26178 | 2017-10-02 |
| 1881103232 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 1201 E Main St, Harrisville, WV 26362 | 2017-09-28 |
| Street Address |
100 SCHOOL ST |
| City | ELLENBORO |
| State | WV |
| Zip Code | 26346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657966 | Ashley Nichole Mullenix | Nurse Practitioner | 107 Ritchie County School Road, Ellenboro, WV 26346 | 2017-09-01 |
| 1134316086 | Lucky Eye Care, Pllc | Eyewear Supplier (Equipment, not the service) | 123 West Wagner, Ellenboro, WV 26346 | 2007-09-25 |
| 1518083070 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 107 Ritchie Co School Road, Ellenboro, WV 26346 | 2007-03-22 |
| 1386657013 | Nicole Deann Sleeth | Physical Therapist | 117 West Wagner Street, Ellenboro, WV 26346 | 2006-08-14 |
| 1164438487 | Mountain River Physical Therapy LLC | Clinic/Center | 117 W. Wagner Street, Ellenboro, WV 26346 | 2006-07-31 |
| 1871942318 | Andrew George Costaras | Physical Therapist | 117 W. Wagner Street, Ellenboro, WV 26346-0328 | 2016-06-06 |
| 1275993065 | Wesley Kirk Eades | Physical Therapist | 117 W. Wagner Street, Ellenboro, WV 26346-0328 | 2016-03-07 |
| 1619368669 | Richard A. Gandee II | Physical Therapist | 117 W. Wagner Street, Ellenboro, WV 26346-0328 | 2015-02-12 |
| 1164613782 | Stephanie Marie Foutty | Physical Therapist | 117 W. Wagner Street, Ellenboro, WV 26346-0328 | 2007-08-08 |
| 1669893780 | Thomas Knotts | Specialist/Technologist | 201 Ritchie County School Rd Ste 1, Ellenboro, WV 26346-6704 | 2013-12-16 |
| Find all providers in zip 26346 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518083070 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 107 Ritchie Co School Road, Ellenboro, WV 26346 | 2007-03-22 |
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| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.