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Organization
CENTER FOR SERVICE COORDINATION, LLC
Active
Organization
CENTER FOR SERVICE COORDINATION, LLC
Active
Other names
Center for Service Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BAUGHMAN BA (EXECUTIVE DIRECTOR)
(304) 209-2001
Entity
Organization
Contact information
Practice address
630 WINCHESTER AVE STE E, MARTINSBURG, WV 25401-2102
(304) 209-2001
Mailing address
630 WINCHESTER AVE STE E, MARTINSBURG, WV 25401-2102
(304) 209-2001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WVTPID010483
—
WV
Enumeration date
02/03/2020
Last updated
02/03/2020
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