NPIMap

Organization Active NPI

Putnam County Aging Program, Inc

  • Non-emergency Medical Transport (VAN)
  • Saint Albans, WV
National Provider Identifier
1891194858
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PUTNAM COUNTY AGING PROGRAM, INC
Practice address
2558 Winfield Rd
Saint Albans, WV 25177-7804
Phone
(304) 755-2385
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Debra Doss
Title
Fiscal Officer
Phone
(304) 755-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2558 Winfield Rd
Saint Albans, WV 25177-7804

Mailing address

2558 Winfield Rd
Saint Albans, WV 25177-7804
Phone (304) 755-2385

Other identifiers 1

IdentifierTypeStateIssuer
0030736001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Putnam County Aging Program Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1891194858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 WINFIELD RD",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251777804",
            "telephone_number": "304-755-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 WINFIELD RD",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251777804",
            "telephone_number": "304-755-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY AGING PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "304-755-2385"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030736001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.