CHANGE INC NPI 1912311705

NPI Information

  • NPI: 1912311705
  • Provider Name: CHANGE INC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • Doing Business As: FMC SBHC
  • Address: 3248 PENNSYLVANIA AVE
    WEIRTON, WV
    ZIP 26062
  • Phone: (304) 748-2828

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NPI Details

CHANGE INC is a physician assistant in Weirton, WV. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. CHANGE INC NPI is 1912311705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fmc Sbhc.

The provider's business location address is:

3248 PENNSYLVANIA AVE
WEIRTON, WV
ZIP 26062-804
Phone: (304) 748-2828

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

The enumeration date for this NPI number is 6/19/2014 and was last updated on 6/19/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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