Organization Active NPI

Board of Child Care of the United Methodist Church, Inc

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1760887459
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13GR7 Issued in WV
Legal business name
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
Practice address
27 Campolina Way
Martinsburg, WV 25404-1105
Phone
(304) 267-8863
Fax
(304) 267-8916
NPI assigned
Oct 24, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mr. James Edward Buckey
Title
Chief Financial Officer
Phone
(410) 922-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13GR7 WV Primary

Addresses

Primary practice location

27 Campolina Way
Martinsburg, WV 25404-1105

Mailing address

3300 Gaither Rd
Baltimore, MD 21244-2916
Phone (410) 922-2100

Other identifiers 1

IdentifierTypeStateIssuer
3810026072MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Board of Child Care of13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1760887459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GAITHER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442916",
            "telephone_number": "410-922-2100",
            "fax_number": "410-496-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CAMPOLINA WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254041105",
            "telephone_number": "304-267-8863",
            "fax_number": "304-267-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "BUCKEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-922-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "13GR7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026072",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2014; 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.