Southwestern Community Action Council

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SOUTHWESTERN COMMUNITY ACTION COUNCIL

Practice address

540 Fifth Ave.
Huntington, WV 25701-1908

Phone

(304) 525-5151

Fax

(304) 697-8556

NPI assigned

Mar 19, 2007

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWESTERN COMMUNITY ACTIONAs reported in NPPES

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

Authorized official

Name

Mr. Dwight Coburn

Title

Ceo

Phone

(304) 525-5151

Specialties & licenses 7

Addresses

Other identifiers 3

Tax ID family

Southwestern Community Action Council3 organizations share this tax ID, including this one

Part of

Southwestern Community Action Council

Other organizations with this tax ID 2

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

• Southwestern Community Action Council Inc

  • Case Management Agency
  • Huntington, WV
  • NPI 1619146446
  NPD tax ID
• Southwestern Community Action Council Inc.

  • Case Management Agency
  • Huntington, WV
  • NPI 1710429899
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1538283957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FIFTH AVE.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011908",
            "telephone_number": "304-525-5151",
            "fax_number": "304-697-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FIFTH AVE.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011908",
            "telephone_number": "304-525-5151",
            "fax_number": "304-697-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN COMMUNITY ACTION COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN COMMUNITY ACTION",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-525-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "251B0000X",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023584001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018524",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023584004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiyi Jeffrey Song, M.D.
• Jessica Sorenson, MA
• Clara Rashawn Sorrells
• Jason R Southall, PA-C
• Southgate Wilder Emergency Medical Service
• Southwestern Community Action Council Inc
• Southwestern Community Action Council Inc.
• Joshua Adam Sova, RN
• Betty Sowards
• Ellen Louise Sowards

• Case Manager/Care Coordinator in Huntington, WV
• Providers in Huntington, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.