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NPI Code Detail

MEDICARE: SUMMERS COUNTY COUNCIL ON AGING, INC

MEDICARE: SUMMERS COUNTY COUNCIL ON AGING, 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 AgencyUD000121045001WV

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 : 1790193977
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMERS COUNTY COUNCIL ON AGING, INC
Provider Business Mailing Address
First Line : 120 2ND AVE
Second Line :
City : HINTON
State : WV
Zip : 25951-2402
Country : US
Telephone Number : 304-466-4019
Fax Number : 304-466-1890
Provider Business Practice Location Address
First Line : 120 2ND AVE
Second Line :
City : HINTON
State : WV
Zip : 25951-2402
Country : US
Telephone Number : 304-466-4019
Fax Number : 304-466-1890
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LINVILLE F GOINS
Credential :
Telephone Number : 304-466-4019
Provider Enumeration Date : 07/31/2014
Last Update Date : 07/31/2014

Similar Medicare Providers

1407852957 — SUMMERS COUNTY COUNCIL ON AGING, INC
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890
1598363863 — ELIZABETH ANN PLUMLEY
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890
1912505256 — SUSAN RAE WARD
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890
1609474980 — FRANCES CAROL GILL
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890
1326646605 — LINDA GAIL BENNETT
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890
1396343661 — KENNETH R ADKINS
Practice Location Address:
120 2ND AVE
HINTON, WV
25951-2402
Practice Phone: 304-466-4019
Practice Fax: 304-466-1890

Directions to “SUMMERS COUNTY COUNCIL ON AGING, INC ” Practice Location

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