Pride Community Services, Inc.

LBN: Pride Community Services, Inc.
Pride Community Services, Inc. is an health care organization with primary practice located at 699 Stratton St , Logan WV 25601-4020. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Pride Community Services, Inc. can be contacted via phone (304) 752-6868, or through Jones, Reginald via phone (304) 752-6868.

Contact Information

Primary practice address
699 Stratton St Logan WV 25601-4020
Phone: (304) 752-6868
Fax: (304) 752-1047
Website:
Map and Directions
Authorized official contact:
Name: Jones, Reginald
Phone: (304) 752-6868

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1922371400
LBN Legal business name Pride Community Services, Inc.
DBA Doing business as
Authorized official Jones, Reginald
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Apr 11th, 2012 - about 14 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 1922371400 NPPES
West Virginia MEDICAID 0030732002
West Virginia MEDICAID 3810022724
West Virginia MEDICAID 0030732000
West Virginia MEDICAID 3810009467

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