NPIMap

Organization Active NPI

Marion County Senior Citizens, Inc.

  • Home Health Agency
  • Fairmont, WV
National Provider Identifier
1750698767
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARION COUNTY SENIOR CITIZENS, INC.
Practice address
105 Maplewood Dr
Fairmont, WV 26554-2147
Phone
(304) 366-8779
Fax
(304) 366-3186
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Debbie Harvey
Title
Executive Director
Phone
(304) 366-8779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

105 Maplewood Dr
Fairmont, WV 26554-2147

Mailing address

105 Maplewood Dr
Fairmont, WV 26554-2147
Phone (304) 366-8779

Other identifiers 1

IdentifierTypeStateIssuer
2803011000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Marion County Senior Citizens Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1750698767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAPLEWOOD DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542147",
            "telephone_number": "304-366-8779",
            "fax_number": "304-366-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAPLEWOOD DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542147",
            "telephone_number": "304-366-8779",
            "fax_number": "304-366-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-366-8779"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2803011000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.