NPIMap

Organization Active NPI

Coalfield Community Action Partnership, Inc. (CM)

  • Case Management Agency
  • Williamson, WV
National Provider Identifier
1508260647
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)
Practice address
1626 W 3Rd Ave
Williamson, WV 25661-3007
Phone
(304) 235-1701
Fax
(304) 235-1706
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Tim Salmons
Title
Executive Director
Phone
(304) 235-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1626 W 3Rd Ave
Williamson, WV 25661-3007

Mailing address

PO Box 1406
Williamson, WV 25661-1406
Phone (304) 235-1701

Other identifiers 1

IdentifierTypeStateIssuer
0030685000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Coalfield Community Action Partners5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1626 W 3rd Ave
Williamson, WV 25661
Phone (304) 235-1701

Practitioners & affiliated clinicians

Practitioners 124

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.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1508260647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256611406",
            "telephone_number": "304-235-1701",
            "fax_number": "304-235-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W 3RD AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613007",
            "telephone_number": "304-235-1701",
            "fax_number": "304-235-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "SALMONS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-235-1701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030685000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.