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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Jefferson County Council on Aging (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N/AMedicaidWV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2014.

{
    "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

All providers in Ranson, WV · Non-emergency Medical Transport (VAN) in West Virginia

Sources for this page

Verify at the official NPI Registry.