Organization · Type 2 NPI

Wirt County Health Services Association, Inc

Federally Qualified Health Center (FQHC) · Racine, OH

NPI number 1366762825 Active

Practice location

920 Elm St
Racine, OH 45771-8902

Call (740) 949-2348 Map

Fax (740) 949-2536

Mailing address

PO Box 609
Elizabeth, WV 26143-0609

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Southern Local School DistrictLocal Education Agency (LEA) Racine, OH NPI 1851536205
Junetta A. Maynard, FNP-BCFamily Nurse Practitioner Racine, OH NPI 1205071743

Other federally qualified health center (fqhc) providers in Racine

Hopewell Health Centers, Inc.Federally Qualified Health Center (FQHC) Racine, OH NPI 1083388839

See all in Racine →

NPI record

NPI: 1366762825
Entity type: Organization (Type 2)
Issued: Jun 8, 2010
Last updated: Sep 7, 2023
Status: Active

Other names

<unavail>
Southern Local School District Wellness Center · doing business as
Southern Local School District Wellness Center · doing business as

Authorized official

Mrs. Vicki L Knicely
Billing/credentialing Supervisor
(304) 275-3301

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366762825

Wirt County Health Services Association, Inc's National Provider Identifier is 1366762825, issued on Jun 8, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Racine, OH. The record was last updated on Sep 7, 2023.