MEDICARE: LEWIS COUNTY SENIOR CITIZENS CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164840005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIS COUNTY SENIOR CITIZENS CENTER, INC.

Provider Business Mailing Address
First Line	:	171 W 2ND ST
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-1665
Country	:	US
Telephone Number	:	304-269-5738
Fax Number	:	304-269-7329

Provider Business Practice Location Address
First Line	:	171 W 2ND ST
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-1665
Country	:	US
Telephone Number	:	304-269-5738
Fax Number	:	304-269-7329

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. DINAH MILLS
Credential	:
Telephone Number	:	304-269-5738

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	09/24/2020

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Directions to “LEWIS COUNTY SENIOR CITIZENS CENTER, INC. ” Practice Location

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