MEDICARE: WIRT COUNTY HEALTH SERVICES ASSOCIATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922962315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIRT COUNTY HEALTH SERVICES ASSOCIATION INC

Provider Business Mailing Address
First Line	:	PO BOX 609
Second Line	:
City	:	ELIZABETH
State	:	WV
Zip	:	26143-0609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 LUBECK RD
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-7679
Country	:	US
Telephone Number	:	304-863-3321
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROB DUDLEY
Credential	:
Telephone Number	:	304-861-4100

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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