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NPI Code Detail

MEDICARE: NICHOLAS COUNTY BOARD OF HEALTH

MEDICARE: NICHOLAS COUNTY BOARD OF HEALTH
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
1251K00000XPublic Health or Welfare AgencyNAWV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114964954
Entity Type Code : Organization
Provider Name (Legal Business Name) : NICHOLAS COUNTY BOARD OF HEALTH
Provider Business Mailing Address
First Line : 1 STEVENS RD STE 201
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9704
Country : US
Telephone Number : 304-872-5329
Fax Number : 304-872-5362
Provider Business Practice Location Address
First Line : 1 STEVENS RD STE 201
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9704
Country : US
Telephone Number : 304-872-5329
Fax Number : 304-872-5362
Authorized Official
Title or Position : HEALTH OFFICER
Name : ANITA R. STEWART
Credential : DO
Telephone Number : 304-872-5329
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/15/2024

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Directions to “NICHOLAS COUNTY BOARD OF HEALTH ” Practice Location

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