WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC (NPI# 1538179411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538179411 |
| Entity Type | Organization |
| Organization Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Other Organization Name | WIRT COUNTY FAMILY CARE |
| Practice Address |
483 Court Street Elizabeth WV 26143-0609 |
| Mailing Address |
Po Box 609 Elizabeth WV 26143-0609 |
| Practice Telephone | 3042753301 |
| Practice Fax Number | 3042754798 |
| Mailing Telephone | 3042753301 |
| Mailing Fax Number | 3042754798 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | MRS. VICKI L KNICELY (BILLING/CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 3042753301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ========= | WV | 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 |
|---|---|
| Wirt County Family Care | 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 |
| 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 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| Street Address |
483 COURT STREET |
| City | ELIZABETH |
| State | WV |
| Zip Code | 26143-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255870036 | Amanda Lynch | Nurse Practitioner | 483 Court Street, Elizabeth, WV 26143-0609 | 2017-02-14 |
| 1740611920 | Stacey N Mills | Nurse Practitioner | 483 Court Street, Elizabeth, WV 26143-0609 | 2013-12-12 |
| 1528332921 | Jasen Ralph Nichols | Psychologist | 483 Court Street, Elizabeth, WV 26143-0609 | 2012-03-02 |
| 1992996359 | Sarah L. Casseday | Counselor | 483 Court Street, Elizabeth, WV 26143-0609 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1043820780 | Ada Ross | Technician | 436 Wells Lock Rd, Elizabeth, WV 26143 | 2020-08-07 |
| 1609485135 | Kesha Coon | Technician | 172 Cherry Street, Elizabeth, WV 26143 | 2020-07-30 |
| 1437785623 | Ewv Holdings, LLC | Skilled Nursing Facility | 495 Court St, Elizabeth, WV 26143 | 2020-03-19 |
| 1578195145 | United Hospital Center, Inc. | Home Health | 69 Maze Plaza, Elizabeth, WV 26143 | 2020-02-11 |
| 1588021836 | Angela Dawn Crowe | Nurse Practitioner | 461 Schoolview Street, Elizabeth, WV 26143 | 2016-01-18 |
| 1114321270 | Wirt County Committee On Aging & Family Services, Inc. | In Home Supportive Care | 74 Senior Circle, Elizabeth, WV 26143 | 2014-10-20 |
| 1518191923 | Wirt County Health Services Association, Inc | Family Medicine | Schoolview Street, Elizabeth, WV 26143 | 2009-05-13 |
| 1790950996 | Ronald Scott Mckinney | Pharmacist | Rt 14 North, Foodmart Shopping Center, Elizabeth, WV 26143 | 2008-04-28 |
| 1215159520 | Christina Beth Morrison | Specialist/Technologist | Mulberry Street, Wirt County High School, Elizabeth, WV 26143 | 2007-05-03 |
| Find all providers in zip 26143 | ||||
| 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 |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 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 | ||||
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.