# SOUTHWESTERN COMMUNITY ACTION COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWESTERN COMMUNITY ACTION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538283957
- **Legal business name:** SOUTHWESTERN COMMUNITY ACTION
- **Authorized official:** MR. DWIGHT COBURN (CEO)
- **Authorized official phone:** (304) 525-5151

## Contact information

- **Practice address:** 540 FIFTH AVE., HUNTINGTON, WV 25701-1908
- **Practice address phone:** (304) 525-5151
- **Practice address fax:** (304) 697-8556
- **Mailing address:** 540 FIFTH AVE., HUNTINGTON, WV 25701-1908
- **Mailing address phone:** (304) 525-5151
- **Mailing address fax:** (304) 697-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | 251B0000X | WV | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 05/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0023584001 | — | WV |
| 05 | — | 0023584004 | — | WV |
| 05 | — | 3810018524 | — | WV |