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
Phone: (304) 523-9454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558736082 | NPPES |
| West Virginia | MEDICAID | 3810018236 | |
| West Virginia | MEDICAID | 3810018235 |
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