Active NPI
Nicholas Community Action Partnership
- Case Management Agency
- Summersville, WV
National Provider Identifier
1508168451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1035-2100
- Legal business name
- NICHOLAS COMMUNITY ACTION PARTNERSHIP
- Practice address
- 1205 Broad St
Summersville, WV 26651-1805 - Phone
- (304) 872-1162
- Fax
- (304) 872-5796
- NPI assigned
- Nov 29, 2010
- Last updated
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Jarroll
- Title
- President
- Phone
- (304) 872-1162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1035-2100 | WV | Primary |
Addresses
Primary practice location
1205 Broad St
Summersville, WV 26651-1805
Mailing address
1205 Broad St
Summersville, WV 26651-1805
Phone (304) 872-1162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659370856 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas Community Action Partnership Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Summersville, WV
- NPI 1568904829
-
- Home Health Agency
- Summersville, WV
- NPI 1326231366
-
- Point of Service
- Summersville, WV
- NPI 1659370856
Locations
1205 Broad St
Summersville, WV 26651
Phone (304) 872-1162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1508168451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 BROAD ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511805",
"telephone_number": "304-872-1162",
"fax_number": "304-872-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 BROAD ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511805",
"telephone_number": "304-872-1162",
"fax_number": "304-872-5796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS COMMUNITY ACTION PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "JARROLL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-872-1162",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WV",
"license": "1035-2100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659370856",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
- Betty Jo Neil
- Jody Lynn Nelson
- New Hire Residential Services, Inc
- New River Health Association, Inc. (New River Health - Summersville)
- New River Health Association, Inc. (Nicholas County School Based Health Center)
- Nicholas Community Action Partnership, Inc
- Nicholas Community Action Partnership, Inc.
- Nicholas Community Action Partnership, Inc.
- Nicholas County Board of Education
- Nicholas County Board of Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.