Buckhannon-Upshur Work Adjustment Center,Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BUCKHANNON-UPSHUR WORK ADJUSTMENT CENTER,INC.

Practice address

RR 2 Box 62
Buckhannon, WV 26201-9503

Phone

(304) 472-4678

Fax

(304) 472-4712

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Leroy E. Dixon Jr.

Title

Executive Director

Phone

(304) 472-4678

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1649457367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 62",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262019503",
            "telephone_number": "304-472-4678",
            "fax_number": "304-472-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 62",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262019503",
            "telephone_number": "304-472-4678",
            "fax_number": "304-472-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHANNON-UPSHUR WORK ADJUSTMENT CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-472-4678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3606005000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Brown
• Bartley Ray Brown, DO
• Carolyn Ann Brown
• Erik Brown
• Amelia Brugnoli, OTR/L
• Peggy Bucklin
• Katherine Keely Burnside, PA-C
• Kaylia Burnside
• Marie Hope Burnside
• Patricia Marie Burnside

• Developmentally Disabled Services Day Training Agency in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Developmentally Disabled Services Day Training Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.