NINETEENTH CIRCUIT COMMUNITY CORRECTIONS PROGRAM


Address: 216 West Main Street, Grafton, WA 26351
Phone: 3042650351

NINETEENTH CIRCUIT COMMUNITY CORRECTIONS PROGRAM (NPI# 1073059838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073059838
Entity Type Organization
Organization Name NINETEENTH CIRCUIT COMMUNITY CORRECTIONS PROGRAM
Practice Address 216 West Main Street
Grafton
WA 26351
Practice Telephone 3042650351
Practice Fax Number 3042650384
Mailing Telephone 3042650351
Mailing Fax Number 3042650384
Enumeration Date 2017-01-17
Last Update Date 2017-01-17
Authorized Official Name TAMELA C. NAROG (EXECUITVE DIRECTOR/PROJECT MANAGER)
Authorized Official Telephone 3042650351
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 216 WEST MAIN STREET
City GRAFTON
State WA
Zip Code 26351

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578841896 Tana Renee Kevak Nurse Practitioner 921 Mineral Rd Ste 101, Glenville, WV 26351 2011-08-03
1881710598 June Julie Turner Naturopath 2607 Duck Run Road, Glenville, WV 26351 2007-03-22
1366479297 Hilary Dawn Miller Family Medicine 604 W Main St, Glenville, WV 26351 2006-06-27
1295770600 Little Kanawha Family Medicine Pllc Family Medicine 604 W Main St, Glenville, WV 26351 2006-06-19
1982707469 Carl Edwin Nichols Family Medicine Gilmer County Urgent Care, 101 College Street, Glenville, WV 26351-0299 2006-09-07
1669548939 John C Westfall Dentist 809 Mineral Rd, Glenville, WV 26351-0700 2006-11-28
1679560361 Gilmer County Ambulance Service Ambulance 230 W Main St, Glenville, WV 26351-1051 2005-09-29
1154799294 Lasa Bree Mencer Massage Therapist 106 E Main St, Glenville, WV 26351-1117 2015-09-06
1285677013 Mark J Cinalli Od Faao Pllc Optometrist 307 Howard St, Glenville, WV 26351-1170 2006-06-13
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801104799 Pathways Counseling and Growth Center Community/Behavioral Health 312 Third Street, Grafton, OH 44035 2010-09-14
1942455753 Associates & Inhabilitative Planning Community/Behavioral Health 15263 75th St Ne, Grafton, ND 58237-8878 2008-11-20
1164058921 Commonwealth Autism Services LLC Community/Behavioral Health 95 Pleasant St, Grafton, MA 01519-1031 2020-03-12
1245609429 Jill Vetstein Community/Behavioral Health 28 Grafton Cmn, Grafton, MA 01519-1534 2015-09-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821539 Cpf Breakthrough, LLC Community/Behavioral Health 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 2020-11-03
1538760111 Nw Family Recovery Solutions Community/Behavioral Health 710 Bay St, Port Orchard, WA 98366-5310 2020-11-02
1891395091 Art Nelson LLC Community/Behavioral Health 18679 15th Loop Ne, Poulsbo, WA 98370-7436 2020-10-27
1508463803 Kim Lampson Pllc Community/Behavioral Health 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 2020-10-08
1518573971 Olive Crest Community/Behavioral Health 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 2020-09-21
1659980563 Deborah M Connors Pllc Community/Behavioral Health 534 Ne Everett St Ste 201, Camas, WA 98607-2025 2020-07-27
1790393221 Charmd Behavioral & Health LLC Community/Behavioral Health 4318 233rd Pl Se, Bothell, WA 98021-9057 2020-07-21
1699392548 Ryan Wathne Pllc Community/Behavioral Health 2711 E Madison St Ste 203, Seattle, WA 98112-4763 2020-06-26
1184241192 Optimum Counseling, LLC Community/Behavioral Health 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 2020-06-25
1467079467 Recovery Cafe of Clark County Community/Behavioral Health 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 2020-06-25
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Competitor

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City GRAFTON
Zip Code 26351

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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