Organization
WOMENCARE INC
Active
Other names
FamilyCare HealthCenter, FamilyCare
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DIANNE RAY (CREDENTIALING SPECIALIST)
(304) 757-6999
Entity
Organization
Contact information
Practice address
812 PARK AVE # 35, CHARLESTON, WV 25302
(304) 757-6999
(304) 201-5019
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2359-3514
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790276525
—
WV
Enumeration date
05/29/2018
Last updated
05/24/2022
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