Healthcare Provider Details

I. General information

NPI: 1447429477
Provider Name (Legal Business Name): HANCOCK COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 GOLDEN BEAR DR
NEW CUMBERLAND WV
26047-1672
US

IV. Provider business mailing address

PO BOX 1300
NEW CUMBERLAND WV
26047-1300
US

V. Phone/Fax

Practice location:
  • Phone: 304-564-3411
  • Fax: 304-564-3990
Mailing address:
  • Phone: 304-564-3411
  • Fax: 304-564-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateWV

VIII. Authorized Official

Name: KAREN WOJCIK
Title or Position: MEDICAID SPECIALIST
Credential:
Phone: 304-231-3820