| Organization Name: | JACKSON COUNTY BOARD OF HEALTH |
| NPI Number: | 1568839892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN HOSAFLOOK (ADMINSTRATOR) |
| Mailing Address: | 504 Church St S Ripley |
| State: | WV US |
| Postal Code: | 252711616 |
| Phone Number: | 3043722634 |
| Fax Number: | 3043721096 |
| NPI Enumeration Date: | 08/21/2015 |
| NPI Last Update Date: | 08/21/2015 |
| 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: | |