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METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION INC. NPI 1215215496


NPI Information

NPI: 1215215496
Provider Name: METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION, INC.

Other Name: MCDC, INC.

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
205 DONNALLY ST
CHARLESTON, WV
ZIP 25301
Phone: (304) 342-4775
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METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION, INC. is a non emergency medical transport van in Charleston, WV. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. METROPOLITAN COMMUNITY DEVELOPMENT CORPORATION, INC. NPI is 1215215496. The provider is registered as an organization entity type.
The provider Other Name Is Mcdc, Inc..

The provider's business location address is:

205 DONNALLY ST
CHARLESTON, WV
ZIP 25301-122
Phone: (304) 342-4775
Fax: (304) 342-4799

The provider's authorized official is Pastor Darin G Freeman .
The authorized official title is Executive Director and has the following contact phone number (304) 342-4775.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 7/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)1916971WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810015481MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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