| Organization Name: | MINGO COUNTY BOARD OF HEALTH |
| NPI Number: | 1033290754 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY HEADEN (ADMINISTRATOR) |
| Mailing Address: | First Ave. And Logan St. - Memorial Building 2nd Floor Williamson |
| State: | WV US |
| Postal Code: | 256611096 |
| Phone Number: | 3042353570 |
| Fax Number: | 3042352654 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 01/22/2008 |
| 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: | |