Provider Demographics
NPI:1174365290
Name:RITCHIE COUNTY PRIMARY CARE ASSOC., INC.
Entity type:Organization
Organization Name:RITCHIE COUNTY PRIMARY CARE ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WALASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-643-4005
Mailing Address - Street 1:PO BOX 41559
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1267
Mailing Address - Country:US
Mailing Address - Phone:304-643-4005
Mailing Address - Fax:
Practice Address - Street 1:615 BROADWAY AVE RM 26
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-6637
Practice Address - Country:US
Practice Address - Phone:304-643-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)