Organization Active NPI

Hardy Co Health Dept (Fam)

  • Public Health or Welfare Agency
  • Moorefield, WV
National Provider Identifier
1124128541
Registry record updated Aug 22, 2020
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
HARDY CO HEALTH DEPT (FAM)
Practice address
411 Spring Ave
Suite 101
Moorefield, WV 26836-1036
Phone
(304) 530-6355
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia L. Williams, RN
Title
Administrator
Phone
(304) 530-6355

Specialties & licenses 1

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

Addresses

Primary practice location

411 Spring Ave
Suite 101
Moorefield, WV 26836-1036

Mailing address

411 Spring Ave
Suite 101
Moorefield, WV 26836-1036
Phone (304) 530-6355

Other identifiers 1

IdentifierTypeStateIssuer
0021301003MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Hardy Co Health Dept Fam3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

411 Spring Ave
#101
Moorefield, WV 26836
Phone (304) 530-6355

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124128541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SPRING AVE",
            "address_2": "SUITE 101",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361036",
            "telephone_number": "304-530-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SPRING AVE",
            "address_2": "SUITE 101",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361036",
            "telephone_number": "304-530-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY CO HEALTH DEPT (FAM)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-530-6355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021301003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.