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
100 FLORIDA STREET, CHARLESTON, WV 25302-1131
(304) 414-4015
(304) 414-4018
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
2256-9525
WV
261QF0400X
Federally Qualified Health Center (FQHC)
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871872184
—
WV
05
—
3810024338
—
WV
Enumeration date
08/04/2011
Last updated
05/24/2022
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