NPIMap

Organization Active NPI

Calhoun County Committee on Aging, Inc.

  • Voluntary or Charitable Agency
  • Grantsville, WV
National Provider Identifier
1487798914
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CALHOUN COUNTY COMMITTEE ON AGING, INC.
Practice address
3 Market Street
Grantsville, WV 26147
Phone
(304) 354-7017
Fax
(304) 354-6859
NPI assigned
Feb 17, 2007
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Mr. Rick PolingNPI 1407258148
Title
Executive Director
Phone
(304) 354-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X WV Primary

Addresses

Primary practice location

3 Market Street
Grantsville, WV 26147

Mailing address

PO Box 619
Grantsville, WV 26147-0619
Phone (304) 354-7017

Other identifiers 3

IdentifierTypeStateIssuer
0030566000MedicaidWV
8001004000MedicaidWV
0030566001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Calhoun County Committee on Aging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1487798914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261470619",
            "telephone_number": "304-354-7017",
            "fax_number": "304-354-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARKET STREET",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "26147",
            "telephone_number": "304-354-7017",
            "fax_number": "304-354-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN COUNTY COMMITTEE ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-354-7017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030566000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8001004000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030566001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.