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FMC SBHC
NPI 1912311705
Physician Assistant in Weirton, WV

Active since June 19, 2014
3248 PENNSYLVANIA AVE, WEIRTON, WV 26062(304) 748-2828 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fmc Sbhc NPPES

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

FMC SBHC (NPI 1912311705) is a healthcare organization registered as a physician assistant in Weirton, West Virginia and active in the NPI registry since June 2014. The organization lists Judy Raveaux, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912311705
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCHANGE INC
Location Address3248 PENNSYLVANIA AVEWeirton, WV 26062-3804
Mailing Address3248 Pennsylvania AveWeirton, WV 26062-3804 · (304) 748-2828
Phone(304) 748-2828
Organization SubpartNo
Authorized OfficialJudy RaveauxCeo · (304) 797-7733
Enumeration DateJune 19, 2014
✔ NPI 1912311705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
3248 PENNSYLVANIA AVE, Weirton, WV 26062
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Other Names 1

Doing Business AsFmc Sbhc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Inc's NPI number?

The NPI number for Change Inc is 1912311705. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as FMC Sbhc.

Where is Change Inc located?

Change Inc is located at 3248 Pennsylvania Ave, Weirton, WV 26062. The listed phone number is (304) 748-2828.

What is Change Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Change Inc was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.