Organization Active NPI

Fayette County Community Action Agency

Doing business as Fayette County Nurse Family Partnership

  • Registered Nurse
  • Uniontown, PA
National Provider Identifier
1356464994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
FAYETTE COUNTY COMMUNITY ACTION AGENCY
Doing business as
Fayette County Nurse Family Partnership
Practice address
119 N Beeson Ave
Uniontown, PA 15401-2975
Phone
(724) 437-6050
Fax
(724) 437-4418
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James M Stark
Title
Ceo
Phone
(724) 437-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

119 N Beeson Ave
Uniontown, PA 15401-2975

Mailing address

119 N Beeson Ave
Uniontown, PA 15401-2975
Phone (724) 437-6050

Other names 1

  • Fayette County Nurse Family Partnership Doing business as

National Provider Directory

National Provider Directory

Locations

119 N Beeson Ave
Uniontown, PA 15401
Phone (724) 437-6050

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356464994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N BEESON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012975",
            "telephone_number": "724-437-6050",
            "fax_number": "724-437-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N BEESON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012975",
            "telephone_number": "724-437-6050",
            "fax_number": "724-437-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-437-6050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette County Nurse Family Partnership",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.