Organization Active NPI

Grant County Board of Health

  • Public Health or Welfare Agency
  • Petersburg, WV
National Provider Identifier
1043397110
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GRANT COUNTY BOARD OF HEALTH
Practice address
739 North Fork Highway
Petersburg, WV 26847
Phone
(304) 257-4922
Fax
(304) 257-2422
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John L Hahn, M.D.NPI 1831190446
Title
Local Health Officer
Phone
(304) 257-4922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000532 WV Part B Supplier - Clinic/Group Practice 8729029988 Receives reassigned benefits from 2 practitioners
Practice locations: Petersburg, WV

National Provider Directory

National Provider Directory

Locations

739 N Fork Hwy
Petersburg, WV 26847
Phone (304) 257-4922

739 N Fork Hwy
#H
Petersburg, WV 26847

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X WV Primary

Addresses

NPPES NPI Registry

Primary practice location

739 North Fork Highway
Petersburg, WV 26847

Mailing address

PO Box 608
739 North Fork Highway
Petersburg, WV 26847-0608
Phone (304) 257-4922

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0091234000MedicaidWV
0021284000MedicaidWV

Other names 1

NPPES NPI Registry
  • Grant County Health Department Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2013.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1043397110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "739 NORTH FORK HIGHWAY",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268470608",
            "telephone_number": "304-257-4922",
            "fax_number": "304-257-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 NORTH FORK HIGHWAY",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-257-4922",
            "fax_number": "304-257-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LOCAL HEALTH OFFICER",
        "authorized_official_telephone_number": "304-257-4922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091234000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021284000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.