FAMILY MEDICAL CARE – NPI #1174074686
Clinic/Center

FAMILY MEDICAL CARE is an AHC clinic located in NEWELL, WV. NPPES has assigned the NPI number 1174074686 to FAMILY MEDICAL CARE on October 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY MEDICAL CARE” is a dba name, the actual legal business name for this organization is CHANGE INCORPORATED. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY MEDICAL CARE below.

NPI Profile for
CHANGE INCORPORATED

NPI Number
1174074686
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHANGE INCORPORATED
Doing Business As (dba): FAMILY MEDICAL CARE
Primary location
1151 WASHINGTON ST
NEWELL, WV 26050
Phone: (304) 459-4010 Fax: (304) 797-7740
Mailing address
3158 WEST STREET
WEIRTON, WV 26062
Phone: (304) 459-4010 Fax: (304) 723-2195
Organization Subpart
No
Authorized Official
JUDY RAVEAUX
CEO
Phone: (304) 797-7733
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.