Organization Name: | WAYNE CO HEALTH DEPT (RFTS) |
NPI Number: | 1003204256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN FIFE (ADMINISTRATOR) |
Mailing Address: | 217 Kenova Ave Wayne |
State: | WV US |
Postal Code: | 255709795 |
Phone Number: | 3042726761 |
Fax Number: | 3042726763 |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |