MEDICARE: MARSHALL COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HD327A	OTHER	WV	HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013913607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	MOUNDSVILLE
State	:	WV
Zip	:	26041-0429
Country	:	US
Telephone Number	:	304-845-7840
Fax Number	:	304-843-9837

Provider Business Practice Location Address
First Line	:	6TH STREET & COURT AVE
Second Line	:
City	:	MOUNDSVILLE
State	:	WV
Zip	:	26041-0429
Country	:	US
Telephone Number	:	304-845-7840
Fax Number	:	304-843-9837

Authorized Official
Title or Position	:	ACCOUNTING TECHNICIAN
Name	:	MRS. BRENDA L BECKETT
Credential	:
Telephone Number	:	304-845-7840

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/22/2020

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Directions to “MARSHALL COUNTY HEALTH DEPARTMENT ” Practice Location

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