CHANGE, INCORPORATED (NPI# 1245244367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245244367 |
| Entity Type | Organization |
| Organization Name | CHANGE, INCORPORATED |
| Other Organization Name | FAMILY MEDICAL CARE COMMUNITY HEALTH CENTER |
| Practice Address |
3136 West St Weirton WV 26062-4635 |
| Practice Telephone | 3047977733 |
| Mailing Telephone | 3047977733 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | JUDY LYNN RAVEAUX (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3047977733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CHANGE OH LICENSE | 2160961 | 01 |
| OH | CHANGE DBA FAMILY MEDICAL CARE CHC | 2161000 | 01 |
| WV | 3810007536 | 05 | |
| OH | 200 LURAY DRIVE WINTERSVILLE OH MEDICARE SITE # | 361015 | 01 |
| OH | 2733993 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY MEDICAL CARE Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528275971 | Change, Incorporated | Pharmacy | 3136 West St, Weirton, WV 26062-4637 | 2007-05-16 |
| Street Address |
3136 WEST ST |
| City | WEIRTON |
| State | WV |
| Zip Code | 26062-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671703 | Barbara Fahey | Nurse Practitioner | 3136 West St, Weirton, WV 26062-4637 | 2005-07-05 |
| 1649837139 | Daisy Bloomfield | Social Worker | 3136 West St, Weirton, WV 26062-4637 | 2019-05-21 |
| 1548608896 | Erin Lynn Miller | Dentist | 3136 West St, Weirton, WV 26062-4637 | 2013-06-10 |
| 1912259920 | Kody Thomas Tuttle | Dentist | 3136 West St, Weirton, WV 26062-4637 | 2012-10-15 |
| 1154579936 | Change Inc Family Medical Care | Day Training, Developmentally Disabled Services | 3136 West St, Weirton, WV 26062-4637 | 2008-09-04 |
| 1528275971 | Change, Incorporated | Pharmacy | 3136 West St, Weirton, WV 26062-4637 | 2007-05-16 |
| 1194931436 | Monica L Pulice | Pharmacist | 3136 West St, Weirton, WV 26062-4637 | 2007-05-15 |
| 1821086745 | Joshua E Kolanko | Family Medicine | 3136 West St, Weirton, WV 26062-4637 | 2005-10-13 |
| 1588652499 | Kelli L Fournier | Family Medicine | 3136 West St, Weirton, WV 26062-4637 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357935 | Hancock County School District | Speech-Language Pathologist | 3248 Pennsylvania Avenue, Weirton, WV 26062 | 2020-08-17 |
| 1982105441 | Maria Baldwin | Nurse Practitioner | 131 American Way, Weirten, WV 26062 | 2018-02-21 |
| 1194236604 | Rachel Lahita | Occupational Therapy Assistant | 3205 Rear Orchard St, Weirton, WV 26062 | 2017-10-24 |
| 1912424623 | Soleo Health Inc | Pharmacy | 204 Three Springs Dr Ste B, Weirton, WV 26062 | 2017-08-23 |
| 1255853313 | Kelli Elise Brooks | Dentist | 389 American Way, Weirton, WV 26062 | 2017-07-11 |
| 1750745030 | Jessica Bee | Pharmacist | 3901 Brightway, Weirton, WV 26062 | 2016-04-12 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1750706503 | Patrick T Long Jr. | Massage Therapist | 3709 Collins Way, Weirton, WV 26062 | 2014-03-03 |
| 1689928921 | Austin Gregory White | Optometrist | 400 Three Springs Drive, Weirton, WV 26062 | 2012-11-08 |
| Find all providers in zip 26062 | ||||
| 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 |
|---|---|---|---|---|
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 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 |
| 1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
| 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.