NPIMap

Organization Active NPI

Northwest Commuity Services Agency

  • Transportation Broker
  • Union City, TN
National Provider Identifier
1033269337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
NORTHWEST COMMUITY SERVICES AGENCY
Practice address
1604 W Reelfoot Ave
Union City, TN 38261-5530
Phone
(731) 884-2640
Fax
(731) 884-2644
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas McWherter
Title
Executive Director
Phone
(731) 884-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1604 W Reelfoot Ave
Union City, TN 38261-5530

Mailing address

1604 W Reelfoot Ave
Union City, TN 38261-5530
Phone (731) 884-2640

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Community Services Agency6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1604 W Reelfoot Ave
Union City, TN 38261
Phone (731) 884-2640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033269337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 W REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615530",
            "telephone_number": "731-884-2640",
            "fax_number": "731-884-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615530",
            "telephone_number": "731-884-2640",
            "fax_number": "731-884-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUITY SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWHERTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-884-2640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.