CHANGE INC (NPI# 1952716433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952716433 |
| Entity Type | Organization |
| Organization Name | CHANGE INC |
| Other Organization Name | FAMILY MEDICAL CARE CHC |
| Practice Address |
200 Luray Dr Wintersville OH 43953-3973 |
| Mailing Address |
3136 West St Weirton WV 26062-4637 |
| Practice Telephone | 7403148258 |
| Practice Fax Number | 3047232195 |
| Mailing Telephone | 3047977733 |
| Mailing Fax Number | 3047232195 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | JUDY RAVEAUX (CEO) |
| Authorized Official Telephone | 3047977733 |
| Is Organization Subpart | N |
| 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 | 3810025567 | 05 |
| Other Name | Type Code |
|---|---|
| Family Medical Care CHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1912311705 | Change Inc | Physician Assistant | 3248 Pennsylvania Ave, Weirton, WV 26062-3804 | 2014-06-19 |
| 1316203706 | Change Inc | Preferred Provider Organization | 1251 S Main St, Middletown, CT 06457-5050 | 2012-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Change Inc. | 3225 S Wadsworth Blvd, T, Lakewood, CO 80227 |
| Iowa Business Entities | CHANGE INC. | 6258 Rockwell Drive 103, Cedar Rapids, IA 52402 |
| Connecticut Business Registrations | Change Incorporated | 1251 South Main Street, Middletown, CT 06457 |
| Street Address |
200 LURAY DR |
| City | WINTERSVILLE |
| State | OH |
| Zip Code | 43953-3973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781084 | Manuel W Ballas | Obstetrics & Gynecology | 200 Luray Dr, Wintersville, OH 43953-3973 | 2005-09-22 |
| 1548860471 | Lindsay Blake | Registered Nurse | 200 Luray Dr, Wintersville, OH 43953-3973 | 2020-10-29 |
| 1841642105 | Jose A Crespo | Obstetrics & Gynecology | 200 Luray Dr, Wintersville, OH 43953-3973 | 2016-07-11 |
| 1346587409 | Tina Marie Tiberio | Nurse Practitioner | 200 Luray Dr, Wintersville, OH 43953-3973 | 2013-01-09 |
| 1942592035 | Lynn Marie Miller | Nurse Practitioner | 200 Luray Dr, Wintersville, OH 43953-3973 | 2011-05-06 |
| 1891084745 | Shonna Diane Taylor | Specialist/Technologist | 200 Luray Dr, Wintersville, OH 43953-3973 | 2011-03-31 |
| 1174822662 | Virginia Ruth Arbogast | Specialist/Technologist | 200 Luray Dr, Wintersville, OH 43953-3973 | 2011-03-23 |
| 1265731756 | Jaime Marie Price | Specialist/Technologist | 200 Luray Dr, Wintersville, OH 43953-3973 | 2011-03-23 |
| 1861791360 | Lauren Renee Flood | Specialist/Technologist | 200 Luray Dr, Wintersville, OH 43953-3973 | 2011-03-23 |
| 1043546443 | Sandra Lang | Nurse Practitioner | 200 Luray Dr, Wintersville, OH 43953-3973 | 2009-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800672 | Paulnetta A Wilcox-barner | Social Worker | 105 E Carlton Rd, Steubenville, OH 43953 | 2018-05-09 |
| 1033541743 | Home Is Where The Heart Is, LLC | Technician | 105 North Avalon Drive, Wintersville, OH 43953 | 2013-08-05 |
| 1750724639 | Abbey J. Ernst | Counselor | 500 Church Street, Suite 5-c, Wintersville, OH 43953 | 2013-04-10 |
| 1841510575 | Jennifer Scavo | Specialist | 4630 Scioto Dr Apt B, Steubenville, OH 43953 | 2010-06-04 |
| 1720214745 | Wintersville Medical Group LLC | Physical Therapist | 1562 Cadiz Road, Suite B, Wintersville, OH 43953 | 2009-06-04 |
| 1518029875 | A T Tamboli Md Allergy Lab | Allergy & Immunology | 227 Canton Road, Wintersville, OH 43953 | 2006-12-14 |
| 1841386380 | Ryan Jeffrey Dunlevy | Physical Therapist | 860 Main St., Wintersville, OH 43953 | 2006-10-04 |
| 1740247725 | Jasmin A Tamboli | Family Medicine | 227 Canton Rd, Wintersville, OH 43953 | 2006-04-26 |
| 1306224175 | Anthony William Grant | Podiatrist | 319 Main St, Wintersville, OH 43953 | 2015-05-13 |
| 1770905275 | David Bowden II | Chiropractor | 860 Main St, Wintersville, OH 43953 | 2014-01-17 |
| Find all providers in zip 43953 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
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| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WINTERSVILLE |
| Zip Code | 43953 |
Please comment or provide details below to improve the information on CHANGE 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.