Healthcare Provider Details
I. General information
NPI: 1326262536
Provider Name (Legal Business Name): MARSHALL COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6TH STREET & COURT AVENUE
MOUNDSVILLE WV
26041
US
IV. Provider business mailing address
6TH STREET & COURT AVENUE
MOUNDSVILLE WV
26041
US
V. Phone/Fax
- Phone: 304-845-7840
- Fax: 304-843-9837
- Phone:
- Fax: 304-843-9837
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
RONDA
L
FRANCIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 304-845-7840