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NPI Code Detail

MEDICARE: COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)

MEDICARE: COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)
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
1251B00000XCase Management 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 : 1508260647
Entity Type Code : Organization
Provider Name (Legal Business Name) : COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)
Provider Business Mailing Address
First Line : PO BOX 1406
Second Line :
City : WILLIAMSON
State : WV
Zip : 25661-1406
Country : US
Telephone Number : 304-235-1701
Fax Number : 304-235-1706
Provider Business Practice Location Address
First Line : 1626 W 3RD AVE
Second Line :
City : WILLIAMSON
State : WV
Zip : 25661-3007
Country : US
Telephone Number : 304-235-1701
Fax Number : 304-235-1706
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. TIM SALMONS
Credential :
Telephone Number : 304-235-1701
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

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Directions to “COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM) ” Practice Location

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