Healthcare Provider Details

I. General information

NPI: 1841371705
Provider Name (Legal Business Name): DODDRIDGE COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 2 BOX 54
WEST UNION WV
26456-9512
US

IV. Provider business mailing address

RR 2 BOX 54
WEST UNION WV
26456-9512
US

V. Phone/Fax

Practice location:
  • Phone: 304-873-1531
  • Fax: 304-873-2994
Mailing address:
  • Phone: 304-873-1531
  • Fax: 304-873-2994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number008845
License Number StateWV

VIII. Authorized Official

Name: DEBBIE DAVIS
Title or Position: RN ADMINISTRATOR
Credential:
Phone: 304-873-1531