Organization Name: | MINERAL COUNTY BOARD OF HEALTH |
NPI Number: | 1497822746 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL A LIEBIG (PHYSICIAN, DIRECTOR) |
Mailing Address: | Harley O. Staggers Sr. Drive Keyser |
State: | WV US |
Postal Code: | 267269401 |
Phone Number: | 3047881321 |
Fax Number: | 3047886023 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |