NPIMap

Organization Active NPI

Summers County Board of Health

  • Clinic/Center
  • Hinton, WV
National Provider Identifier
1104638287
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUMMERS COUNTY BOARD OF HEALTH
Practice address
151 Pleasant St
Hinton, WV 25951-2540
Phone
(304) 466-3388
Fax
(304) 466-1230
NPI assigned
Jan 24, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMERS COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Celena Hope Cooper
Title
Administrator
Phone
(304) 466-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

151 Pleasant St
Hinton, WV 25951-2540

Mailing address

PO Box 898
Hinton, WV 25951-0898
Phone (304) 466-3388

Other names 1

  • SUMMERS COUNTY BOARD OF HEALTH Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310000022 WV Part B Supplier - Clinic/Group Practice 2668636275 Receives reassigned benefits from 4 practitioners
Practice locations: Hinton, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Summers Co Board of HLT2 organizations share this tax ID, including this one
Part of
Summers Co Board of HLT

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 Pleasant St
Hinton, WV 25951
Phone (304) 466-3388

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1104638287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 898",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259510898",
            "telephone_number": "304-466-3388",
            "fax_number": "304-466-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PLEASANT ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512540",
            "telephone_number": "304-466-3388",
            "fax_number": "304-466-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERS COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CELENA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-466-3388"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERS COUNTY BOARD OF HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hinton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.