Wayne Co Health Dept (RFTS)

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

WAYNE CO HEALTH DEPT (RFTS)

Practice address

217 Kenova Ave
Wayne, WV 25570-9795

Phone

(304) 272-6761

Fax

(304) 272-6763

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

RIGHT FROM THE STARTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Fife

Title

Administrator

Phone

(304) 272-6761

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Wayne County Health Department

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1003204256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255700368",
            "telephone_number": "304-272-6761",
            "fax_number": "304-272-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 KENOVA AVE",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255709795",
            "telephone_number": "304-272-6761",
            "fax_number": "304-272-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CO HEALTH DEPT (RFTS)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIGHT FROM THE START",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-272-6761"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021424003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiersten Cheyenne Vanhoose
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2792)
• Walgreen Co (Walgreens #17704)
• Walgreen Co. (Walgreens #17704)
• Conner Watts
• Wayne County Board of Education
• Wayne County Board of Education
• Wayne County Board of Education
• Wayne County Board of Education
• Wayne County Board of Education

• Public Health or Welfare Agency in Wayne, WV
• Providers in Wayne, WV by specialty
• Public Health or Welfare Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.