| Change Inc | |
|
200 Luray Dr Wintersville OH 43953-3973 | |
| (740) 314-8258 | |
| (304) 723-2195 |
| Full Name | Change Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 Luray Dr, Wintersville, Ohio |
| Authorized Official Name and Position | Judy Raveaux (CEO) |
| Authorized Official Contact | 3047977733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Inc 3136 West St Weirton WV 26062-4637 Ph: (304) 797-7733 | Change Inc 200 Luray Dr Wintersville OH 43953-3973 Ph: (740) 314-8258 |
| NPI Number | 1952716433 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 11/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952716433 | NPI | - | NPPES |
| 3810025567 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Valley Internal Medicine,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Welday Ave, Wintersville, OH 43953 Phone: 740-264-5770 Fax: 740-264-5780 |