RITCHIE COUNTY PRIMARY CARE ASSOC INC. (NPI# 1720104219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720104219 |
Entity Type | Organization |
Organization Name | RITCHIE COUNTY PRIMARY CARE ASSOC INC. |
Other Organization Name | ST. MARY'S HIGH SCHOOL WELLNESS CENTER |
Practice Address |
2330 N Pleasants Hwy Saint Marys WV 26170-5008 |
Mailing Address |
Po Box 373 Harrisville WV 26362-0373 |
Practice Telephone | 8555528907 |
Mailing Telephone | 3046434005 |
Mailing Fax Number | 3046434007 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2019-09-16 |
Authorized Official Name | MARY BETH MCDOUGAL II (ADMINISTRATOR) |
Authorized Official Telephone | 3046434005 |
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 |
---|---|---|---|
WV | 3810008817 | 05 |
Other Name | Type Code |
---|---|
St. Mary's High School Wellness Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1002 2nd St, Saint Marys, WV 261701255 | 3046841216 | 3046840926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982003786 | Ritchie County Primary Care Assoc Inc. | Clinic/Center | 151 Doddridge School Road, West Union, WV 26456 | 2014-08-18 |
Street Address |
2330 N PLEASANTS HWY |
City | SAINT MARYS |
State | WV |
Zip Code | 26170-5008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891295077 | Dawn Renee Barchett | Nurse Practitioner | 2330 N Pleasants Hwy, Saint Marys, WV 26170-5008 | 2018-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972118370 | Anna L Hall | Technician | 123 Riverview Est, Apt # 36, St Marys, WV 26170 | 2020-09-11 |
1497289771 | Nicole Lancaster | Occupational Therapy Assistant | 102 Donald Street, Saint Marys, WV 26170 | 2017-04-13 |
1609002732 | Jennifer Marie Strimer | Dentist | 111 Lafayette St., Suite 203, St. Marys, WV 26170 | 2009-06-03 |
1497907141 | Porfirio R. Pascasio | Surgery | 2880 North Pleasant Highway, St. Mary's Correctional Center, St. Mary, WV 26170 | 2008-10-14 |
1396965141 | C Richard Gerber | Dentist | 314 Barkwill Street, St. Marys, WV 26170 | 2007-04-26 |
1356446082 | Dr Larry W Carr PC | Optometrist | 214 Washington Street, St Marys, WV 26170 | 2006-09-14 |
1679689426 | Danny Edward Chandler | Dentist | 111 Lafayette Street, Saint Marys, WV 26170 | 2006-08-22 |
1235301961 | Dawn Rauch | Occupational Therapist | 2272 N Pleasants Highway, St. Marys, WV 26170-0021 | 2008-04-02 |
1720259633 | Kimberly Scott | Psychologist | 2272 North Pleasants Highway, St. Marys, WV 26170-0021 | 2008-03-19 |
1598938961 | Lori Renner | Registered Nurse | 2272 N Pleasants Highway, St. Marys, WV 26170-0021 | 2008-04-08 |
Find all providers in zip 26170 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
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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 |
Find all providers with the same taxonomy |
City | SAINT MARYS |
Zip Code | 26170 |
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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.