CHANGE INC. NPI 1194951350

NPI Information

CHANGE, INC. is an obstetrics gynecology in Wintersville, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CHANGE, INC. NPI is 1194951350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medical Care Chc.

The provider's business location address is:

200 LURAY DR
WINTERSVILLE, OH
ZIP 43953-973
Phone: (304) 797-7733
Fax: (304) 797-7740

The provider's authorized official is Judy L Raveaux .
The authorized official title is Ceo and has the following contact phone number (304) 797-7733.

The CLIA number assigned to this NPI record is 36D2055383 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 9/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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