Organization Name: | JACKSON COUNTY BOARD OF HEALTH |
NPI Number: | 1578939328 |
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: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
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: |