| Organization Name: | JEFFERSON COUNTY BOARD OF HEALTH |
| NPI Number: | 1417037532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID G. DIDDEN (HEALTH OFFICER) |
| Mailing Address: | 1948 Wiltshire Rd Ste 1 Kearneysville |
| State: | WV US |
| Postal Code: | 254302783 |
| Phone Number: | 3047288416 |
| Fax Number: | 3047283319 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | A72206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |