# CHANGE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY MEDICAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629098132
- **Authorized official:** MRS. JUDY RAVEAUX (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 797-7733

## Contact information

- **Practice address:** 3032 MAIN STREET, WEIRTON, WV 26062
- **Practice address phone:** (304) 748-2828
- **Practice address fax:** (304) 797-0002
- **Mailing address:** 3032 MAIN STREET, WEIRTON, WV 26062
- **Mailing address phone:** (304) 748-2828
- **Mailing address fax:** (304) 797-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | -001 | WV | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 07/21/2022