Organization Active NPI

Southwestern Community Action Council Inc

  • Case Management Agency
  • Huntington, WV
National Provider Identifier
1619146446
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
042376 Issued in WV
Legal business name
SOUTHWESTERN COMMUNITY ACTION COUNCIL INC
Practice address
540 5TH Ave
Huntington, WV 25701-1908
Phone
(304) 525-5151
Fax
(304) 697-8556
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 042376 WV Primary

Addresses

Primary practice location

540 5TH Ave
Huntington, WV 25701-1908

Mailing address

540 5TH Ave
Huntington, WV 25701-1908
Phone (304) 525-5151

Other identifiers 1

IdentifierTypeStateIssuer
0023584001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Community Action Council3 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.

Locations

540 5th Ave
Huntington, WV 25701
Phone (304) 525-5151

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1619146446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 5TH 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 5TH 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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "042376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023584001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.