Organization Name: | DODDRIDGE COUNTY HEALTH DEPARTMENT |
NPI Number: | 1932207354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA DAVIS (RN ADMINISTRATOR) |
Mailing Address: | 60 Pennsylvania St West Union |
State: | WV US |
Postal Code: | 264568143 |
Phone Number: | 3048731531 |
Fax Number: | 3048732994 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 008845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |