| Change Incorporated | |
|
1151 Washington St Newell WV 26050 | |
| (304) 459-4010 | |
| (304) 797-7740 |
| Full Name | Change Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1151 Washington St, Newell, West Virginia |
| 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 Incorporated 3158 West Street Weirton WV 26062 Ph: (304) 459-4010 | Change Incorporated 1151 Washington St Newell WV 26050 Ph: (304) 459-4010 |
| NPI Number | 1174074686 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174074686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |