DODDRIDGE CO SENIOR CITIZEN NPI 1730353954

NPI Information

NPI: 1730353954
Provider Name: DODDRIDGE CO SENIOR CITIZEN
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
403 W MAIN ST
WEST UNION, WV
ZIP 26456
Phone: (304) 873-2061
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DODDRIDGE CO SENIOR CITIZEN is a home health aide in West Union, WV. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. DODDRIDGE CO SENIOR CITIZEN NPI is 1730353954. The provider is registered as an organization entity type.

The provider's business location address is:

403 W MAIN ST
WEST UNION, WV
ZIP 26456-127
Phone: (304) 873-2061
Fax: (304) 873-1769

The provider's authorized official is Marvin E Travis .
The authorized official title is Director and has the following contact phone number (304) 873-2061.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 11/7/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health				No
2	374U00000X	Home Health Aide				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0030953002	MEDICAID	WEST 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: 5/5/2024

NPI Synchronization or Removal

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