NPIMap

Organization Active NPI

Goodwill Industries of Kyowva Area, Inc. Family Service Division

  • Community/Behavioral Health Agency
  • Huntington, WV
National Provider Identifier
1114248861
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOODWILL INDUSTRIES OF KYOWVA AREA, INC. FAMILY SERVICE DIVISION
Practice address
1102 Memorial Blvd. W
Huntington, WV 25701
Phone
(304) 523-9545
Fax
(304) 525-7038
NPI assigned
Jun 17, 2010
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Ms. Alissa Stewart
Title
Executive Director
Phone
(304) 523-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X WV Primary

Addresses

Primary practice location

1102 Memorial Blvd. W
Huntington, WV 25701

Mailing address

1102 Memorial Blvd. W.
Huntington, WV 25701
Phone (304) 523-9545

National Provider Directory

National Provider Directory
Tax ID family
Family Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1114248861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD. W.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-523-9545",
            "fax_number": "304-525-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD. W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-523-9545",
            "fax_number": "304-525-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF KYOWVA AREA, INC. FAMILY SERVICE DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-523-9454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.