Metropolitan Community Development Corporation, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1916971 Issued in WV

Legal business name

METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION, INC.

Practice address

205 Donnally St
Charleston, WV 25301-1122

Phone

(304) 342-4775

Fax

(304) 342-4799

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Pastor Darin G Freeman Sr., PASTOR

Title

Executive Director

Phone

(304) 342-4775

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MCDC, Inc. Other name

Locations

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1215215496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DONNALLY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011122",
            "telephone_number": "304-342-4775",
            "fax_number": "304-342-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DONNALLY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011122",
            "telephone_number": "304-342-4775",
            "fax_number": "304-342-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "PASTOR DARIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-342-4775",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "1916971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015481",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCDC, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William G Messer, LGSW
• Christiane Messerli
• Maria Metheny
• Rebecca Nohe Metheny, COTA
• Bobbie Meto
• Brittany Metz
• Amanda Metzger
• Rebecca Dawn Metzger, MA, LSW
• Ashley Meyer
• Ashley E Meyer, D.O

• Non-emergency Medical Transport (VAN) in Charleston, WV
• Providers in Charleston, WV by specialty
• Non-emergency Medical Transport (VAN) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.