Healthcare Provider Details

I. General information

NPI: 1750489415
Provider Name (Legal Business Name): HAMPSHIRE COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 71 BOX 9
AUGUSTA WV
26704-9502
US

IV. Provider business mailing address

HC 71 BOX 9
AUGUSTA WV
26704-9502
US

V. Phone/Fax

Practice location:
  • Phone: 304-496-9641
  • Fax: 304-496-9650
Mailing address:
  • Phone: 304-496-9641
  • Fax: 304-496-9650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberN/A
License Number StateWV

VIII. Authorized Official

Name: MR. GAVIN HEARE
Title or Position: CHAIRMAN OF THE BOARD
Credential:
Phone: 304-822-3585