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General NPI Number Information
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NPI Number | 1265404230
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Entity Type | Organization
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Legal Business Name | RITCHIE COUNTY PRIMARY CARE ASSOC., INC.
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 135 SOUTH PENN AVE
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City | HARRISVILLE
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State | WV
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Zip | 26362
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Country | US
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Telephone | 304-643-4005
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Fax | 304-643-4007
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Provider Business Mailing Address
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Address Line | PO BOX 41559
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City | BELFAST
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State | ME
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Zip | 04915-1267
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Country | US
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Telephone | 304-643-4005
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Fax | 304-643-4007
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | AMY YOKUM
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Credential |
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Telephone | 304-643-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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