Organization Active NPI

Nicholas County Board of Health

  • Public Health or Welfare Agency
  • Summersville, WV
National Provider Identifier
1114964954
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
NA Issued in WV
Legal business name
NICHOLAS COUNTY BOARD OF HEALTH
Practice address
1 Stevens Rd Ste 201
Summersville, WV 26651-9704
Phone
(304) 872-5329
Fax
(304) 872-5362
NPI assigned
Jun 1, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Anita R. Stewart, DONPI 1811196314
Title
Health Officer
Phone
(304) 872-5329

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

Specialties & licenses 1

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

Addresses

Primary practice location

1 Stevens Rd Ste 201
Summersville, WV 26651-9704

Mailing address

1 Stevens Rd Ste 201
Summersville, WV 26651-9704
Phone (304) 872-5329

Other identifiers 1

IdentifierTypeStateIssuer
0021255003MedicaidWV

Other names 1

  • Nicholas County Health Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000284 WV Part B Supplier - Mass Immunization (Roster Biller Only) 4385685544 Receives reassigned benefits from 1 practitioner
Practice locations: Summersville, WV

National Provider Directory

National Provider Directory

Locations

1 Stevens Rd
#201
Summersville, WV 26651
Phone (304) 872-5329

1 Stevens Rd
Ste 201
Summersville, WV 26651
Phone (304) 872-5329

Practitioners & affiliated clinicians

Practitioners 2

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1114964954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STEVENS RD STE 201",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519704",
            "telephone_number": "304-872-5329",
            "fax_number": "304-872-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STEVENS RD STE 201",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519704",
            "telephone_number": "304-872-5329",
            "fax_number": "304-872-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "304-872-5329",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021255003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas County Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nicholas County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.