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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
216 WEST MAIN STREET |
City | GRAFTON |
State | WA |
Zip Code | 26351 |
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 |
1043850191 | Glenville State College | Internal Medicine | 200 High St, Glenville, WV 26351-1200 | 2020-01-07 |
Find all providers in zip 26351 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
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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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.