Organization Name: | COUNTY OF MARION BOARD OF HEALTH |
NPI Number: | 1124173935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LLOYD RAY WHITE (ADMINISTRATOR) |
Mailing Address: | 300 2nd St Fairmont |
State: | WV US |
Postal Code: | 265542830 |
Phone Number: | 3043663360 |
Fax Number: | 3043638217 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |