Organization
CHANGE, INC.
Active
Other names
Family Medical Care CHC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L RAVEAUX (CEO)
(304) 797-7733
Entity
Organization
Contact information
Practice address
200 LURAY DR, WINTERSVILLE, OH 43953-3973
(304) 797-7733
(304) 797-7740
Mailing address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
(304) 797-7740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007536
—
WV
05
—
3810016963
—
WV
Enumeration date
06/02/2009
Last updated
09/24/2013
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