CHANGE INC (NPI# 1619503422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619503422 |
| Entity Type | Organization |
| Organization Name | CHANGE INC |
| Practice Address |
114 Taylor Ave Weirton WV 26062-4635 |
| Mailing Address |
3158 West St Weirton WV 26062-4637 |
| Practice Telephone | 3047482828 |
| Mailing Telephone | 3047971210 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | JUDY L RAVEAUX (CEO) |
| Authorized Official Telephone | 3047977733 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952716433 | Change Inc | Family Medicine | 200 Luray Dr, Wintersville, OH 43953-3973 | 2014-06-24 |
| 1912311705 | Change Inc | Physician Assistant | 3248 Pennsylvania Ave, Weirton, WV 26062-3804 | 2014-06-19 |
| 1316203706 | Change Inc | Preferred Provider Organization | 1251 S Main St, Middletown, CT 06457-5050 | 2012-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Change Inc. | 3225 S Wadsworth Blvd, T, Lakewood, CO 80227 |
| Iowa Business Entities | CHANGE INC. | 6258 Rockwell Drive 103, Cedar Rapids, IA 52402 |
| Connecticut Business Registrations | Change Incorporated | 1251 South Main Street, Middletown, CT 06457 |
| Street Address |
114 TAYLOR AVE |
| City | WEIRTON |
| State | WV |
| Zip Code | 26062-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357935 | Hancock County School District | Speech-Language Pathologist | 3248 Pennsylvania Avenue, Weirton, WV 26062 | 2020-08-17 |
| 1982105441 | Maria Baldwin | Nurse Practitioner | 131 American Way, Weirten, WV 26062 | 2018-02-21 |
| 1194236604 | Rachel Lahita | Occupational Therapy Assistant | 3205 Rear Orchard St, Weirton, WV 26062 | 2017-10-24 |
| 1912424623 | Soleo Health Inc | Pharmacy | 204 Three Springs Dr Ste B, Weirton, WV 26062 | 2017-08-23 |
| 1255853313 | Kelli Elise Brooks | Dentist | 389 American Way, Weirton, WV 26062 | 2017-07-11 |
| 1750745030 | Jessica Bee | Pharmacist | 3901 Brightway, Weirton, WV 26062 | 2016-04-12 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1750706503 | Patrick T Long Jr. | Massage Therapist | 3709 Collins Way, Weirton, WV 26062 | 2014-03-03 |
| 1689928921 | Austin Gregory White | Optometrist | 400 Three Springs Drive, Weirton, WV 26062 | 2012-11-08 |
| Find all providers in zip 26062 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245244367 | Change, Incorporated | Clinic/Center | 3136 West St, Weirton, WV 26062-4635 | 2006-07-27 |
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|---|---|---|---|---|
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| 1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
| 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.