NPIMap

Organization Active NPI

Braxton County Senior Citizens Center, Inc.

  • Non-emergency Medical Transport (VAN)
  • Sutton, WV
National Provider Identifier
1922427152
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
10369581 Issued in WV
Legal business name
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Practice address
23 Senior Center Dr
Sutton, WV 26601-9581
Phone
(304) 765-4090
Fax
(304) 765-4095
NPI assigned
Apr 15, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mary Beth Chapman
Title
Executive Director
Phone
(304) 765-4090

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Braxton County Senior Citizens Center Inc (4 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 10369581 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

23 Senior Center Dr
Sutton, WV 26601-9581

Mailing address

23 Senior Center Dr
Sutton, WV 26601-9581
Phone (304) 765-4090

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0030549001MedicaidWV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2020.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1922427152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "304-765-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "304-765-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-765-4090"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "10369581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030549001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.