WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC (NPI# 1760733984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760733984 |
| Entity Type | Organization |
| Organization Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Other Organization Name | PARKERSBURG FAMILY CARE |
| Practice Address |
2610 Camden Ave Parkersburg WV 26101-5652 |
| Practice Telephone | 3049173733 |
| Practice Fax Number | 3049173750 |
| Mailing Telephone | 3049173733 |
| Mailing Fax Number | 3049173750 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2016-03-04 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009486002 | 05 |
| Other Name | Type Code |
|---|---|
| Parkersburg Family Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366762825 | Wirt County Health Services Association, Inc | Clinic/Center | 906 Elm St, Racine, OH 45771-8902 | 2010-06-08 |
| 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 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| Street Address |
2610 CAMDEN AVE |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296132 | James Michael Beane | Family Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2005-09-22 |
| 1902421183 | Regan Thompson | Social Worker | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2020-06-12 |
| 1417471582 | Sarah D Schartiger | Nurse Practitioner | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2017-08-01 |
| 1639623093 | Elizabeth Cruger | Counselor | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2016-08-15 |
| 1619333515 | Wirt County Health Services Association, Inc | Pharmacy | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2016-01-07 |
| 1376929521 | Miranda Sue Boso | Nurse Practitioner | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2015-08-10 |
| 1386855484 | Sireesha Dasari | Family Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2007-05-24 |
| 1811020837 | Dorai T Rajan M D Inc | Internal Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2007-03-13 |
| 1245325182 | Cherrie L. Cowan | Nurse Practitioner | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2006-10-04 |
| 1871541235 | Richard W Watson | Family Medicine | 2610 Camden Ave, Parkersburg, WV 26101-5652 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| 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 |
|---|---|---|---|---|
| 1568719458 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 1513 Blizzard Drive, Parkersburg, WV 26101 | 2012-08-09 |
| 1700900818 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 1200 Stephenson Ave, Parkersburg, WV 26101-4889 | 2007-03-16 |
| 1750868675 | Wirt County Health Services Association, Inc | Clinic/Center | 2121 7th St, Parkersburg, WV 26101-3803 | 2018-07-24 |
| 1548777527 | Wirt County Health Services Association Inc | Clinic/Center | 3705 Emerson Ave, Parkersburg, WV 26104-1118 | 2017-12-29 |
| 1649455015 | Ritchie County Primary Care Association, Inc. | Clinic/Center | 418 Grand Park Dr, Suite 312, Parkersburg, WV 26105-4000 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
Please comment or provide details below to improve the information on WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC.
| 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.