Burlington United Methodist Family Services Inc
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Keyser, WV
NPI 1194933788 · NPPES record last updated Jul 28, 2011
Key facts
- NPI
- 1194933788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 08GRR040 (WV)
- Legal business name
- BURLINGTON UNITED METHODIST FAMILY SERVICES INC
- Practice address
- RR 3 Box 3122
Keyser, WV 26726-9413 - Phone
- (304) 289-6010
- Fax
- (304) 289-3903
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Michael Price
- Title
- Interim Ceo
- Phone
- (304) 289-6010
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Burlington United Methodist Family Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 08GRR040 | WV | Yes |
Addresses
Primary practice location
RR 3 Box 3122
Keyser, WV 26726-9413
Mailing address
RR 3 Box 3122
Keyser, WV 26726-9413
Phone (304) 289-6010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810020325 | Medicaid | WV |
Other providers in Keyser, WV
- Lila Joyce Brown
- Sophia Mae Brown
- Tanya Bryant
- Theresa Bugg
- Loretta Bullett
- Burlington United Methodist Family Services Inc
- Burlington United Methodist Family Services, Inc.
- Burlington United Methodist Family Services, Inc.
- Burlington United Methodist Family Services, Inc.
- Burlington United Methodist Family Services, Inc.
All providers in Keyser, WV · Emotionally Disturbed Childrens' Residential Treatment Facility 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 28, 2011. 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.