SPOTTED OWL HEALTHCARE ORGANIZATION NPI 1003459686

NPI Information

NPI: 1003459686
Provider Name: SPOTTED OWL HEALTHCARE ORGANIZATION
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
807 ELVIRA RD
DUNBAR, WV
ZIP 25064
Phone: (304) 610-5732
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SPOTTED OWL HEALTHCARE ORGANIZATION is a public health or welfare in Dunbar, WV. SPOTTED OWL HEALTHCARE ORGANIZATION NPI is 1003459686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

807 ELVIRA RD
DUNBAR, WV
ZIP 25064-001
Phone: (304) 610-5732

The provider's authorized official is Orlando Yusef Craighead .
The authorized official title is Program Director and has the following contact phone number (304) 610-5732.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 4/8/2024.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	174H00000X	Health Educator		No
3	251B00000X	Case Management		No
4	251E00000X	Home Health		No
5	251K00000X	Public Health or Welfare		Yes
6	251S00000X	Community/Behavioral Health		No
7	252Y00000X	Early Intervention Provider Agency		No
8	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
9	276400000X	Rehabilitation, Substance Use Disorder Unit		No
10	302R00000X	Health Maintenance Organization		No

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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