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NPI Code Detail

MEDICARE: HARRISON COUNTY SENIOR CITIZENS CENTER, INC.

MEDICARE: HARRISON 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
1253Z00000XIn Home Supportive Care Agency
2251V00000XVoluntary or Charitable Agency

Other Identifiers

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

General Provider Information

NPI Number : 1326168725
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON COUNTY SENIOR CITIZENS CENTER, INC.
Provider Business Mailing Address
First Line : 500 W MAIN ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2819
Country : US
Telephone Number : 304-623-6795
Fax Number : 304-623-6798
Provider Business Practice Location Address
First Line : 500 W MAIN ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2819
Country : US
Telephone Number : 304-623-6795
Fax Number : 304-623-6798
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : BETH FITZGERALD
Credential :
Telephone Number : 304-623-6795
Provider Enumeration Date : 03/30/2007
Last Update Date : 09/30/2022

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