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SOUTHERN LOCAL SCHOOL DISTRICT WELLNESS CENTER
NPI 1366762825
Clinic/Center - Federally Qualified Health Center (FQHC) in Racine, OH

Active since June 08, 2010
920 ELM ST, RACINE, OH 45771(740) 949-2348(740) 949-2536 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Local School District Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN LOCAL SCHOOL DISTRICT WELLNESS CENTER (NPI 1366762825) is a healthcare organization registered as a federally qualified health center (fqhc) in Racine, Ohio and active in the NPI registry since June 2010. The organization lists Vicki L Knicely, Billing/credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366762825
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Location Address920 ELM STRacine, OH 45771-8902
Mailing AddressPo Box 609Elizabeth, WV 26143-0609 · (304) 275-3301 · Fax (304) 275-4798
Phone(740) 949-2348
Fax(740) 949-2536
Organization SubpartNo
Authorized OfficialVicki L KnicelyBilling/credentialing Supervisor · (304) 275-3301
Enumeration DateJune 8, 2010
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1366762825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
920 ELM ST, Racine, OH 45771
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Other Names 1

Doing Business AsSouthern Local School District Wellness Center

Other Identifiers 1

Medicaid0085471OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Local School District Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Local School District Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Junetta Maynard, FNP-BC
Nurse Practitioner
NPI 1205071743
920 ELM ST
Racine, OH 45771
(740) 949-2348
✔ PECOS✔ Accepts MedicareSame address
Kenna Wagner, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1730741158
2121 7TH ST
Parkersburg, WV 26101
(304) 485-1721
✔ PECOS✔ Accepts Medicare29 mi
Richard Watson, M.D.
Family Practice
NPI 1871541235
3705 EMERSON AVE
Parkersburg, WV 26104
(304) 917-3530
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wirt County Health Services Association, Inc's NPI number?

The NPI number for Wirt County Health Services Association, Inc is 1366762825. It was assigned to this organization in the NPPES registry on June 8, 2010. The provider is doing business as Southern Local School District Wellness Center.

Where is Wirt County Health Services Association, Inc located?

Wirt County Health Services Association, Inc is located at 920 Elm St, Racine, OH 45771. The listed phone number is (740) 949-2348.

What is Wirt County Health Services Association, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Wirt County Health Services Association, Inc enrolled in Medicare?

Yes. Wirt County Health Services Association, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wirt County Health Services Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wirt County Health Services Association, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wirt County Health Services Association, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Wirt County Health Services Association, Inc 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 Wirt County Health Services Association, Inc was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.