NPIMap

Organization Active NPI

McDowell County Commission on Aging

  • Community Health Clinic/Center
  • Welch, WV
National Provider Identifier
1134348253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
025616 Issued in WV
Legal business name
MCDOWELL COUNTY COMMISSION ON AGING
Practice address
725 Stewart St
Welch, WV 24801-2125
Phone
(304) 436-6588
NPI assigned
Apr 25, 2007
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
Emily Yeager
Title
Executive Director
Phone
(304) 436-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 025616 WV Primary

Addresses

Primary practice location

725 Stewart St
Welch, WV 24801-2125

Mailing address

725 Stewart St
Welch, WV 24801-2125

Other identifiers 1

IdentifierTypeStateIssuer
0030657000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
McDowell County Commission on Aging7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134348253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 STEWART ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 STEWART ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012125",
            "telephone_number": "304-436-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL COUNTY COMMISSION ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-436-6588"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WV",
            "license": "025616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030657000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

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.