NPIMap

Organization Active NPI

Harrison County Senior Citizens Center Inc

  • Non-emergency Medical Transport (VAN)
  • Clarksburg, WV
National Provider Identifier
1427223973
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HARRISON COUNTY SENIOR CITIZENS CENTER INC
Practice address
500 W Main St
Clarksburg, WV 26301-2819
Phone
(304) 623-6795
Fax
(304) 623-6798
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Beth Fitzgerald
Title
Executive Director
Phone
(304) 623-6795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X WV Primary

Addresses

Primary practice location

500 W Main St
Clarksburg, WV 26301-2819

Mailing address

500 W Main St
Clarksburg, WV 26301-2819
Phone (304) 623-6795

Other identifiers 1

IdentifierTypeStateIssuer
0030615001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Harrison County Senior Citizens Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1427223973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012819",
            "telephone_number": "304-623-6795",
            "fax_number": "304-623-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012819",
            "telephone_number": "304-623-6795",
            "fax_number": "304-623-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY SENIOR CITIZENS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-623-6795"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030615001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.