Doddridge Co Senior Citizen

LBN: Doddridge Co Senior Citizen
Doddridge Co Senior Citizen is an health care organization with primary practice located at 403 W Main St P.O. 432, West Union WV 26456-1127. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Homemaker. Agencies / Home Health is the primary health care specialty. Doddridge Co Senior Citizen can be contacted via phone (304) 873-2061, or through Travis, Marvin E via phone (304) 873-2061.

Contact Information

Primary practice address
403 W Main St P.O. 432 West Union WV 26456-1127
Phone: (304) 873-2061
Fax: (304) 873-1769
Website:
Map and Directions
Authorized official contact:
Name: Travis, Marvin E
Phone: (304) 873-2061

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1417124223
LBN Legal business name Doddridge Co Senior Citizen
DBA Doing business as
Authorized official Travis, Marvin E
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2008
Last updated Nov 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417124223 NPPES
West Virginia MEDICAID 0030953001

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