Jefferson County Council on Aging
Organization Active NPI Non-emergency Medical Transport (VAN) · Ranson, WV
NPI 1275950404 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1275950404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- JEFFERSON COUNTY COUNCIL ON AGING
- Practice address
- 103 W 5TH Ave
Ranson, WV 25438-1405 - Phone
- (304) 725-4044
- Fax
- (304) 725-9500
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sarah Pierson
- Title
- Finance Officer
- Phone
- (304) 724-7109
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Jefferson County Council on Aging
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
103 W 5TH Ave
Ranson, WV 25438-1405
Mailing address
103 W 5TH Ave
Ranson, WV 25438-1405
Phone (304) 725-4044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Medicaid | WV |
NPI Registry JSON
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1275950404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W 5TH AVE",
"city": "RANSON",
"state": "WV",
"postal_code": "254381405",
"telephone_number": "304-725-4044",
"fax_number": "304-725-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W 5TH AVE",
"city": "RANSON",
"state": "WV",
"postal_code": "254381405",
"telephone_number": "304-725-4044",
"fax_number": "304-725-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON COUNTY COUNCIL ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "PIERSON",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "FINANCE OFFICER",
"authorized_official_telephone_number": "304-724-7109",
"authorized_official_name_prefix": "Mrs."
},
"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": "N/A",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ranson, WV
- Eric Ingersoll
- Inhome Medications WV, Inc
- Inhome Medications WV, Inc
- Payton Nicole Jackson
- Kassidy James
- Jefferson County Council on Aging
- Jefferson County Council on Aging
- Jefferson County Council on Aging
- Jefferson County Council on Aging - JC
- Jefferson County Emergency Services Agency
All providers in Ranson, WV · Non-emergency Medical Transport (VAN) 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 Mar 26, 2014. 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.