NPIMap

Organization Active NPI

Harrison County Senior Citizens Center, Inc.

  • Voluntary or Charitable Agency
  • Clarksburg, WV
National Provider Identifier
1972624872
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
HARRISON COUNTY SENIOR CITIZENS CENTER, INC.
Practice address
500 W Main St
Clarksburg, WV 26301-2819
Phone
(304) 623-6795
Fax
(304) 623-6795
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Beth Fitzgerald
Title
Executive Director
Phone
(304) 623-6795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

500 W Main St
Clarksburg, WV 26301-2819

Mailing address

500 W Main St
Clarksburg, WV 26301-2819
Phone (304) 623-6795

Other identifiers 1

IdentifierTypeStateIssuer
0030615003MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Harrison County Senior Citizens Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

500 W Main St
Clarksburg, WV 26301
Phone (304) 623-6795

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1972624872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012819",
            "telephone_number": "304-623-6795",
            "fax_number": "304-623-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012819",
            "telephone_number": "304-623-6795",
            "fax_number": "304-623-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-623-6795"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030615003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.