Organization Active NPI

Brooke Cnty HLTH Dept

  • Public Health or Welfare Agency
  • Wellsburg, WV
National Provider Identifier
1023148673
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
17078 Issued in WV
Legal business name
BROOKE CNTY HLTH DEPT
Practice address
632 Main St
Wellsburg, WV 26070-1743
Phone
(304) 737-3665
Fax
(304) 737-3689
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Joseph Depetro, M.D.
Title
Health Officer
Phone
(304) 737-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 17078 WV Primary

Addresses

Primary practice location

632 Main St
Wellsburg, WV 26070-1743

Mailing address

632 Main St
Wellsburg, WV 26070-1743
Phone (304) 737-3665

National Provider Directory

National Provider Directory

Locations

204 Courthouse Sq
Wellsburg, WV 26070
Phone (304) 737-3665

204 Courthouse Sq
Fl 2
Wellsburg, WV 26070

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1023148673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701743",
            "telephone_number": "304-737-3665",
            "fax_number": "304-737-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701743",
            "telephone_number": "304-737-3665",
            "fax_number": "304-737-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE CNTY HLTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "DEPETRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "304-737-3665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": "17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.