Family Service, Div. Of Goodwill Industries

LBN: Family Service, Div. Of Goodwill Industries
Family Service, Div. Of Goodwill Industries is an health care organization with primary practice located at 1102 Memorial Blvd W , Huntington WV 25701-4540. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Family Service, Div. Of Goodwill Industries can be contacted via phone (304) 523-9454, or through Stewart, Alissa via phone (304) 523-9454.

Contact Information

Primary practice address
1102 Memorial Blvd W Huntington WV 25701-4540
Fax:
Website:
Authorized official contact:
Name: Stewart, Alissa

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 408 West Virginia
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 408 West Virginia

Profile Details

NPI number 1558736082
LBN Legal business name Family Service, Div. Of Goodwill Industries
DBA Doing business as
Authorized official Stewart, Alissa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2015
Last updated Dec 14th, 2015 - about 10 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 1558736082 NPPES
West Virginia MEDICAID 3810018236
West Virginia MEDICAID 3810018235

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