CHANGE INCORPORATED
NPI: 1174074686
· NEWELL, WV 26050
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/19/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RAVEAUX, JUDY (CEO) |
| NPI Enumeration Date | 10/19/2016 |
Related Entities
Other providers sharing the same authorized official: RAVEAUX, JUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$0.00 |
| 2019 |
69 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
83 |
64 |
$0.00 |