NPIMap

Organization Active NPI

Raleigh County Community Action Association

  • Case Management Agency
  • Beckley, WV
National Provider Identifier
1154673309
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
AP00943630 Issued in WV
Legal business name
RALEIGH COUNTY COMMUNITY ACTION ASSOCIATION
Practice address
111 Willow LN
Beckley, WV 25801-5521
Phone
(304) 252-6396
Fax
(304) 255-9198
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Mrs. Cynthia G Heltzel, CPA
Title
Chief Financial Officer
Phone
(304) 252-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AP00943630 WV Primary

Addresses

Primary practice location

111 Willow LN
Beckley, WV 25801-5521

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0146263000MedicaidWV

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1154673309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3066",
            "address_2": "111 WILLOW LANE",
            "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 LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015521",
            "telephone_number": "304-252-6396",
            "fax_number": "304-255-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH COUNTY COMMUNITY ACTION ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HELTZEL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-252-6396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "AP00943630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146263000",
            "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 Oct 12, 2012; 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.