NPIMap

Organization Active NPI

Raleigh County Community Action Assocation, Inc.

  • Non-emergency Medical Transport (VAN)
  • Beckley, WV
National Provider Identifier
1154457141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0146263000 Issued in WV
Legal business name
RALEIGH COUNTY COMMUNITY ACTION ASSOCATION, INC.
Practice address
111 Willow Lane
Beckley, WV 25801
Phone
(304) 252-6396
NPI assigned
Feb 26, 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
Bobbi Thomas-Bailey
Title
Executive Director
Phone
(304) 252-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0146263000 WV Primary

Addresses

Primary practice location

111 Willow Lane
Beckley, WV 25801

Mailing address

PO Box 3066
Beckley, WV 25801-1777
Phone (304) 252-6396

Other identifiers 1

IdentifierTypeStateIssuer
0146263-000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Raleigh County Community Action Assocation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

111 Willow Ln
Beckley, WV 25801
Phone (304) 252-6396

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154457141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3066",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258011777",
            "telephone_number": "304-252-6396",
            "fax_number": "304-255-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLOW LANE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-252-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH COUNTY COMMUNITY ACTION ASSOCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS-BAILEY",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-252-6396"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "0146263000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146263-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, 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.