NPIMap

Organization Active NPI

Open Doors for the Developmentally Challenged, Inc.

  • Developmental Disabilities Clinic/Center
  • Lewisburg, WV
National Provider Identifier
1508907338
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC.
Practice address
211 E Washington St
Lewisburg, WV 24901-1423
Phone
(304) 645-2130
Fax
(304) 647-9943
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ms. Amber L Hinkle
Title
Executive Director
Phone
(304) 645-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X WV Primary

Addresses

Primary practice location

211 E Washington St
Lewisburg, WV 24901-1423

Mailing address

211 E Washington St
Lewisburg, WV 24901-1423
Phone (304) 645-2130

Other identifiers 1

IdentifierTypeStateIssuer
0005236000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Open Doors for the Developmentally Challenged Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1508907338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E WASHINGTON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011423",
            "telephone_number": "304-645-2130",
            "fax_number": "304-647-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E WASHINGTON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011423",
            "telephone_number": "304-645-2130",
            "fax_number": "304-647-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-645-2130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005236000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.