WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC (NPI# 1356403703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356403703 |
| Entity Type | Organization |
| Organization Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Other Organization Name | RIVERVALLEY HEALTH & WELLNESS CENTER |
| Practice Address |
606 Washington Street Ravenswood WV 26164 |
| Practice Telephone | 3042731033 |
| Practice Fax Number | 3042731034 |
| Mailing Telephone | 3042731033 |
| Mailing Fax Number | 3042731034 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | MRS. VICKI L KNICELY (BILLING SUPERVISOR CREDENTIALING) |
| Authorized Official Telephone | 3042753301 |
| Is Organization Subpart | Y |
| Parent Organization Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009486002 | 05 |
| Other Name | Type Code |
|---|---|
| RiverValley Health & Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366762825 | Wirt County Health Services Association, Inc | Clinic/Center | 906 Elm St, Racine, OH 45771-8902 | 2010-06-08 |
| 1518191923 | Wirt County Health Services Association, Inc | Family Medicine | Schoolview Street, Elizabeth, WV 26143 | 2009-05-13 |
| 1265615728 | Wirt County Health Services Association, Inc | Family Medicine | 4a School St, Ripley, WV 25271-1538 | 2007-12-07 |
| 1538179411 | Wirt County Health Services Association, Inc | Family Medicine | 483 Court Street, Elizabeth, WV 26143-0609 | 2006-08-09 |
| 1750868675 | Wirt County Health Services Association, Inc | Clinic/Center | 2121 7th St, Parkersburg, WV 26101-3803 | 2018-07-24 |
| 1619333515 | Wirt County Health Services Association, Inc | Pharmacy | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2016-01-07 |
| 1760733984 | Wirt County Health Services Association, Inc | Family Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2012-09-27 |
| Street Address |
606 WASHINGTON STREET |
| City | RAVENSWOOD |
| State | WV |
| Zip Code | 26164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912799 | Murrita C. Bolinger | Nurse Practitioner | 606 Washington Street, Ravenswood, WV 26164-1373 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787246 | First Settlement Physical Therapy | Physical Therapist | 240 Washington St, Ravenswood, WV 26164 | 2015-04-13 |
| 1467840975 | Gretchen Lynn Hammond | Nurse Practitioner | 859 Century Road, Ravenswood, WV 26164 | 2015-01-06 |
| 1780809095 | Emily Mccoy | Physical Therapy Assistant | 200 South Ritchie Ave, Ravenswood, WV 26164 | 2007-04-13 |
| 1427110717 | M A Zurita Hernando Ibrahim | Physical Therapist | 240 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1770687121 | Helen Dee Rymer | Dentist | 707 Washington Street, Ravenswood, WV 26164 | 2006-09-07 |
| 1093723207 | Michael Joseph Witt | Family Medicine | Alcan Rolled Products, Century Road, Ravenswood, WV 26164 | 2006-08-03 |
| 1356793095 | Ashley M Matheny | Psychologist | 606 Washington St, Ravenswood, WV 26164 | 2016-07-06 |
| 1013039965 | Physical Therapy Providers Pllc | Clinic/Center | 240 Washington Street, Ravenswood, WV 26164 | 2007-04-04 |
| 1700320579 | Activate Healthcare - Constellium | Clinic/Center | 859 Century Road, Ravenswood, WV 26164-0068 | 2016-12-13 |
| 1932711587 | Jacqueline Goodnight | Technician | 519 Gibbs St, Ravenswood, WV 26164-1011 | 2020-08-17 |
| Find all providers in zip 26164 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | ||||
| City | RAVENSWOOD |
| Zip Code | 26164 |
Please comment or provide details below to improve the information on WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC.
| 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.