Healthcare Provider Details

I. General information

NPI: 1821909938
Provider Name (Legal Business Name): WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7412 PARKERSBURG RD # A
SANDYVILLE WV
25275-7508
US

IV. Provider business mailing address

483 COURT ST # A
ELIZABETH WV
26143-1109
US

V. Phone/Fax

Practice location:
  • Phone: 304-273-3511
  • Fax:
Mailing address:
  • Phone: 304-275-3301
  • Fax: 304-275-4798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ROB DUDLEY
Title or Position: CEO
Credential:
Phone: 304-861-4100