Organization
WOMENCARE, INC
Active
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
300 ROOSEVELT BLVD, ELEANOR, WV 25070-0000
(304) 380-7728
(304) 586-1301
Mailing address
301 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9552
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511022
PART A PTAN
—
01
—
D204
PART B PTAN
—
Enumeration date
08/01/2013
Last updated
05/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up