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NPI Code Detail

MEDICARE: NICHOLAS COMMUNITY ACTION PARTNERSHIP

MEDICARE: NICHOLAS COMMUNITY ACTION PARTNERSHIP
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 Agency1035-2100WV

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 : 1508168451
Entity Type Code : Organization
Provider Name (Legal Business Name) : NICHOLAS COMMUNITY ACTION PARTNERSHIP
Provider Business Mailing Address
First Line : 1205 BROAD ST
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-1805
Country : US
Telephone Number : 304-872-1162
Fax Number : 304-872-5796
Provider Business Practice Location Address
First Line : 1205 BROAD ST
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-1805
Country : US
Telephone Number : 304-872-1162
Fax Number : 304-872-5796
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID A JARROLL
Credential :
Telephone Number : 304-872-1162
Provider Enumeration Date : 11/29/2010
Last Update Date : 11/29/2010

Similar Medicare Providers

1659370856 — NICHOLAS COMMUNITY ACTION PARTNERSHIP, INC.
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax: 304-872-5796
1326231366 — NICHOLAS COMMUNITY ACTION PARTNERSHIP, INC.
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax: 304-883-2033
1770199945 — BRITTANY NICOLE NOVAK
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax:
1699381749 — KARRIE JO AMICK
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax:
1962018010 — MARY ELLEN BRAGG
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax:
1477160455 — MS. JANE BILSON SHERWOOD RN, BSN
Practice Location Address:
1205 BROAD ST
SUMMERSVILLE, WV
26651-1805
Practice Phone: 304-872-1162
Practice Fax:

Directions to “NICHOLAS COMMUNITY ACTION PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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