Dawn Bumgarner
Individual provider Active NPI Personal Care Attendant · Holden, WV
NPI 1225637259 · NPPES record last updated Oct 21, 2020
Key facts
- NPI
- 1225637259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 426 Copperas Fork Rd
Holden, WV 25625-7721 - Phone
- (304) 896-2097
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
426 Copperas Fork Rd
Holden, WV 25625-7721
Mailing address
426 Copperas Fork Rd
Holden, WV 25625-7721
Phone (304) 896-2097
Other providers in Holden, WV
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- Melissa Avis
- Eugene Bailey
- Amelia Bradshaw
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- Rely C Carbonel
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- Haylee Madison Daniels
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All providers in Holden, WV · Personal Care Attendant 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 Oct 21, 2020. 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.