Provider Demographics
NPI:1982810230
Name:SW RESOURCES, INC
Entity Type:Organization
Organization Name:SW RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZABRINA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-428-6344
Mailing Address - Street 1:1007 MARY ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5223
Mailing Address - Country:US
Mailing Address - Phone:304-428-6344
Mailing Address - Fax:304-485-9019
Practice Address - Street 1:1007 MARY ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5223
Practice Address - Country:US
Practice Address - Phone:304-428-6344
Practice Address - Fax:304-485-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3505008000Medicaid