Organization
WOMEN CARE INC
Active
Other names
FamilyCare Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DIANNE RAY (CREDENTIALING SPECIALIST)
(304) 757-6999
Entity
Organization
Contact information
Practice address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 757-3252
Mailing address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710197
BCBS
WV
01
—
001710198
MS BCBS
WV
05
—
0022633000
—
WV
05
—
1194759290
—
WV
05
—
5369012000
—
WV
01
—
CI5043
RRMC
WV
Enumeration date
07/11/2006
Last updated
09/13/2023
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