Healthcare Provider Details

I. General information

NPI: 1629282017
Provider Name (Legal Business Name): GREENBRIER COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9207 SENECA TRAIL SOUTH
RONCEVERTE WV
24970
US

IV. Provider business mailing address

9207 SENECA TRAIL SOUTH
RONCEVERTE WV
24970
US

V. Phone/Fax

Practice location:
  • Phone: 304-645-1787
  • Fax: 304-645-3630
Mailing address:
  • Phone: 304-645-1787
  • Fax: 304-645-3630

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. GAY H SEBERT
Title or Position: NSE DIR ADMINISTRATOR
Credential: BSN NURSING DIRECTOR
Phone: 304-645-1787