Healthcare Provider Details

I. General information

NPI: 1619086741
Provider Name (Legal Business Name): WEBSTER COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 BELL ST SUITE C
WEBSTER SPRINGS WV
26288-1196
US

IV. Provider business mailing address

112 BELL ST SUITE C
WEBSTER SPRINGS WV
26288-1196
US

V. Phone/Fax

Practice location:
  • Phone: 304-847-5483
  • Fax: 304-847-7692
Mailing address:
  • Phone: 304-847-5483
  • Fax: 304-847-7692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA JEAN COCHRAN
Title or Position: OFFICE ASSISTANT
Credential:
Phone: 304-847-5483