FMC SBHC - BROOKE COMPLEX
NPI 1063918472
Clinic/Center - Federally Qualified Health Center (FQHC) in Wellsburg, WV
About Fmc Sbhc - Brooke Complex NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FMC SBHC - BROOKE COMPLEX (NPI 1063918472) is a healthcare organization registered as a federally qualified health center (fqhc) in Wellsburg, West Virginia and active in the NPI registry since April 2018. The organization holds 3 active CLIA laboratory certificates and lists Judy L Raveaux, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2286945
Change, Inc Indian Creek High School School Based Health Center · Wintersville, OHCertificate of Waiver 51D1015228
Change Inc Family Medical Care Chc · Weirton, WVCertificate of Waiver 36D2055383
Change, Inc Dba Family Medical Care Chc · Wintersville, OHOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Change Incorporated's NPI number?
The NPI number for Change Incorporated is 1063918472. It was assigned to this organization in the NPPES registry on April 4, 2018. The provider is doing business as FMC Sbhc - Brooke Complex.
Where is Change Incorporated located?
Change Incorporated is located at 29 Bruin Dr, Wellsburg, WV 26070. The listed phone number is (047) 977-7333.
What is Change Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Change Incorporated hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Change Incorporated accept?
Health plans from CareSource list Change Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Change Incorporated was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fmc Sbhc - Brooke Complex · NPI 1063918472
Federally Qualified Health Center (FQHC) organization in Wellsburg, West Virginia. Organization record, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1063918472 (Entity type: Organization)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Change Incorporated
- **Organization subpart:** Yes (part of Change Incorporated)
- **Authorized official:** Judy Raveaux, CEO
## Practice location
- **Address:** 29 BRUIN DR, Wellsburg, WV 26070-3064
- **Phone:** (047) 977-7333
## Record status
- **NPPES last updated:** April 4, 2018
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063918472) · Data from the CMS NPPES public registry.