Healthcare Provider Details

I. General information

NPI: 1144383498
Provider Name (Legal Business Name): BOONE COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 KENMORE DRIVE
DANVILLE WV
25053
US

IV. Provider business mailing address

PO BOX 209
MADISON WV
25130-0209
US

V. Phone/Fax

Practice location:
  • Phone: 304-369-7967
  • Fax: 304-369-2832
Mailing address:
  • Phone: 304-369-7967
  • Fax: 304-369-2832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ONA JANE HOWELL
Title or Position: CHAIRPERSON OF THE BOARD OF HEALTH
Credential:
Phone: 304-369-2488