MEDICARE: RITCHIE COUNTY PRIMARY CARE ASSOC., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1528877131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITCHIE COUNTY PRIMARY CARE ASSOC., INC.

Provider Business Mailing Address
First Line	:	PO BOX 41559
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1267
Country	:	US
Telephone Number	:	800-345-0877
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 LAFAYETTE ST STE 201
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-1059
Country	:	US
Telephone Number	:	304-643-4005
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	WALASHA NEWBROUGH
Credential	:
Telephone Number	:	304-643-4005

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	11/18/2025

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