NPIMap

Organization Active NPI

Global Access LLC

  • Developmentally Disabled Services Day Training Agency
  • Charleston, WV
National Provider Identifier
1548470412
Registry record updated Jul 10, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
367 Issued in WV
Legal business name
GLOBAL ACCESS LLC
Practice address
25 Estill Dr
Charleston, WV 25314-1523
Phone
(304) 344-1459
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Ms. Christine Elizabeth Dickson, QMRP II
Title
Owner Ceo
Phone
(304) 344-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 367 WV Primary

Addresses

Primary practice location

25 Estill Dr
Charleston, WV 25314-1523

Mailing address

25 Estill Dr
Charleston, WV 25314-1523
Phone (304) 344-1459

Other identifiers 1

IdentifierTypeStateIssuer
3810005983MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1548470412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ESTILL DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141523",
            "telephone_number": "304-344-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ESTILL DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141523",
            "telephone_number": "304-344-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "304-344-1459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMRP II"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WV",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005983",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.