OrganizationActive
Change Incorporated
NPI 1063918472 · Federally Qualified Health Center (FQHC) · Wellsburg, WV
Provider details
- NPI number
- 1063918472
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Change Incorporated
- Organization subpart
- Yes
- Authorized official
- Judy Raveaux, Ceo(304) 797-7733
- License
- 2271-6959 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29 Bruin Dr
Wellsburg, WV 26070-3064
Phone: (047) 977-7333
Street-level locationGet directions
Mailing address
3158 West St
Weirton, WV 26062-4637
Other names (DBA / former)
- Doing business as
- Fmc Sbhc - Brooke Complex
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2018-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.