Organization Active NPI

Center for Service Coordination, LLC

  • Case Manager/Care Coordinator
  • Martinsburg, WV
National Provider Identifier
1689205148
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CENTER FOR SERVICE COORDINATION, LLC
Doing business as
Center for Service Coordination
Practice address
630 Winchester Ave Ste E
Martinsburg, WV 25401-2102
Phone
(304) 209-2001
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Scott Baughman, BANPI 1275249922
Title
Executive Director
Phone
(304) 209-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

630 Winchester Ave Ste E
Martinsburg, WV 25401-2102

Mailing address

630 Winchester Ave Ste E
Martinsburg, WV 25401-2102
Phone (304) 209-2001

Other identifiers 1

IdentifierTypeStateIssuer
WVTPID010483MedicaidWV

Other names 1

  • Center for Service Coordination Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.baughman@centerforsc.com Direct

National Provider Directory

National Provider Directory

Locations

630 Winchester Ave
Ste E
Martinsburg, WV 25401
Phone (304) 209-2001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1689205148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WINCHESTER AVE STE E",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012102",
            "telephone_number": "304-209-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WINCHESTER AVE STE E",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012102",
            "telephone_number": "304-209-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SERVICE COORDINATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "BAUGHMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-209-2001",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WVTPID010483",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.baughman@centerforsc.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "630 Winchester Ave Ste E",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Service Coordination",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.