Council of Senior Tyler Countians, Inc.
Organization Active NPI Community/Behavioral Health Agency · Middlebourne, WV
NPI 1124244140 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124244140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNCIL OF SENIOR TYLER COUNTIANS, INC.
- Practice address
- 504 Cherry Street
Middlebourne, WV 26149 - Phone
- (304) 758-4919
- Fax
- (304) 758-4680
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Tim James
- Title
- Executive Director
- Phone
- (304) 758-4919
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Council of Senior Tyler Countians Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | WV | Yes |
Addresses
Primary practice location
504 Cherry Street
Middlebourne, WV 26149
Mailing address
504 Cherry Street
P.O. Box 68
Middlebourne, WV 26149
Phone (304) 758-4919
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030589000 | Medicaid | WV | |
| 0030589001 | Medicaid | WV |
Other providers in Middlebourne, WV
- Taylor Rashon Britton
- Theresa J Brown
- Timothy Lawrence Brown
- Judith Ann Burgess
- City of Sistersville
- Council of Senior Tyler Countians, Inc.
- Council of Senior Tyler Countians, Inc.
- Mykaela Davis
- Valerie Delancey
- Ruth Renee Erlewine
All providers in Middlebourne, WV · Community/Behavioral Health Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.