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Contact Information

COUNCIL ON AGING
ROUTE 10
OLD ITMANN GRADE SCHOOL
ITMANN, WV24847
 Phone: 304-294-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for COUNCIL ON AGING

NPI Number 1770614356
LBN Legal business name COUNCIL ON AGING
Authorized official JENNIFER GIBSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
WV Medicaid 0030823000
WV Medicaid 0030823002
WV Medicaid 0030823003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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