Healthcare Provider Details

I. General information

NPI: 1588067128
Provider Name (Legal Business Name): BARBOUR COUNTY BOARD OF HEALTH BARBOUR COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2014
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 WABASH AVE
PHILIPPI WV
26416-0019
US

IV. Provider business mailing address

109 WABASH AVE
PHILIPPI WV
26416-0019
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-1670
  • Fax: 304-451-3172
Mailing address:
  • Phone: 304-457-1670
  • Fax: 304-451-3172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WENDY MADDEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-457-1670