NPIMap

Organization Active NPI

Northwestern Community Services Board

  • Non-emergency Medical Transport (VAN)
  • Front Royal, VA
National Provider Identifier
1194249748
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NORTHWESTERN COMMUNITY SERVICES BOARD
Practice address
209 W Criser Rd
Front Royal, VA 22630-2360
Phone
(540) 636-4250
Fax
(540) 636-7171
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ellen Degraff Harrison
Title
Ceo
Phone
(540) 434-1941

Specialties & licenses 1

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

Addresses

Primary practice location

209 W Criser Rd
Front Royal, VA 22630-2360

Mailing address

209 W Criser Rd
Front Royal, VA 22630-2360
Phone (540) 636-4250

Other identifiers 1

IdentifierTypeStateIssuer
47001042MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Community2 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.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1194249748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-636-4250",
            "fax_number": "540-636-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-636-4250",
            "fax_number": "540-636-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN COMMUNITY SERVICES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "DEGRAFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-434-1941"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47001042",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.