WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC (NPI# 1366762825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366762825 |
| Entity Type | Organization |
| Organization Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Other Organization Name | SOUTHERN LOCAL SCHOOL DISTRICT WELLNESS CENTER |
| Practice Address |
906 Elm St Racine OH 45771-8902 |
| Mailing Address |
Po Box 609 Elizabeth WV 26143-0609 |
| Practice Telephone | 7409494222 |
| Practice Fax Number | 7409491101 |
| Mailing Telephone | 3042753301 |
| Mailing Fax Number | 3042754798 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | MRS. VICKI L KNICELY (BILLING/CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 3042753301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0085471 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Local School District Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518191923 | Wirt County Health Services Association, Inc | Family Medicine | Schoolview Street, Elizabeth, WV 26143 | 2009-05-13 |
| 1265615728 | Wirt County Health Services Association, Inc | Family Medicine | 4a School St, Ripley, WV 25271-1538 | 2007-12-07 |
| 1538179411 | Wirt County Health Services Association, Inc | Family Medicine | 483 Court Street, Elizabeth, WV 26143-0609 | 2006-08-09 |
| 1750868675 | Wirt County Health Services Association, Inc | Clinic/Center | 2121 7th St, Parkersburg, WV 26101-3803 | 2018-07-24 |
| 1619333515 | Wirt County Health Services Association, Inc | Pharmacy | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2016-01-07 |
| 1760733984 | Wirt County Health Services Association, Inc | Family Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2012-09-27 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| Street Address |
906 ELM ST |
| City | RACINE |
| State | OH |
| Zip Code | 45771-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760884944 | Rachel Cornell | Speech-Language Pathologist | 906 Elm St, Racine, OH 45771-8902 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301175 | Emma Lee Roberts | Speech-Language Pathologist | 31398 Bashan Rd, Racine, OH 45771 | 2017-04-21 |
| 1639303647 | Mary E Smith | Licensed Practical Nurse | 30975 Salser Rd, Racine, OH 45771 | 2009-05-05 |
| 1508873431 | Margie J Lawson | Dentist | 106 Tyree Blvd, Racine, OH 45771 | 2006-08-02 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| 1689845505 | Douglas D. Hunter, M.d.llc | Specialist | 207 Fifth Street, Racine, OH 45771 | 2008-03-19 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1952841355 | Morgan Raeann Gordon | Family Medicine | 207 5th St, Racine, OH 45771-5012 | 2017-03-03 |
| 1265766695 | Eddena Jo Smith | Registered Nurse | 818 Johns Rd, Racine, OH 45771-8000 | 2009-10-02 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| Find all providers in zip 45771 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1851445241 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2007-01-22 |
| 1295962652 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2009-06-12 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.