Organization
WOMENCARE 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
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 414-1899
(304) 414-1886
Mailing address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2257-5026
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316228166
—
WV
05
—
3810024290
—
WV
Enumeration date
09/07/2011
Last updated
05/24/2022
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