MINGO COUNTY FAMILY WELLNESS CENTER LLC
NPI 1801283882
Clinic/Center - Primary Care in Williamson, WV
About Mingo County Family Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINGO COUNTY FAMILY WELLNESS CENTER LLC (NPI 1801283882) is a healthcare organization registered as a primary care in Williamson, West Virginia and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Aimee Michelle Colegrove, President/healthcare Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Mingo County Family Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mingo County Family Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 51D2095079
Mingo County Family Wellness Center LLC · Williamson, WVFrequently 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 Mingo County Family Wellness Center LLC's NPI number?
The NPI number for Mingo County Family Wellness Center LLC is 1801283882. It was assigned to this organization in the NPPES registry on April 17, 2015.
Where is Mingo County Family Wellness Center LLC located?
Mingo County Family Wellness Center LLC is located at 872 Route 65, Williamson, WV 25661. The listed phone number is (304) 475-3700.
What is Mingo County Family Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mingo County Family Wellness Center LLC enrolled in Medicare?
Yes. Mingo County Family Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mingo County Family Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mingo County Family Wellness Center LLC. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mingo County Family Wellness Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2095079) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mingo County Family Wellness Center LLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Mingo County Family Wellness Center LLC 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 Mingo County Family Wellness Center LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mingo County Family Wellness Center Llc · NPI 1801283882
Primary Care organization in Williamson, West Virginia. Organization record, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1801283882 (Entity type: Organization)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Aimee Colegrove, PRESIDENT/HEALTHCARE PROVIDER
## Practice location
- **Address:** 872 ROUTE 65, Williamson, WV 25661-7497
- **Phone:** (304) 475-3700 · **Fax:** (304) 475-3780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801283882) · Data from the CMS NPPES public registry.