NPIMap

Organization Active NPI

Marion County Health Department Home Health Service

  • Home Health Agency
  • Fairmont, WV
National Provider Identifier
1184622722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
022188 Issued in WV
Legal business name
MARION COUNTY HEALTH DEPARTMENT HOME HEALTH SERVICE
Practice address
300 2ND St
Fairmont, WV 26554-2830
Phone
(304) 366-5588
Fax
(304) 366-9413
NPI assigned
Jul 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Lloyd R White, RS MPH
Title
Administrator
Phone
(304) 366-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 022188 WV Primary

Addresses

Primary practice location

300 2ND St
Fairmont, WV 26554-2830

Mailing address

300 2ND St
Fairmont, WV 26554-2830
Phone (304) 366-5588

Other identifiers 1

IdentifierTypeStateIssuer
0022865001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Marion County Health Department3 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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184622722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542830",
            "telephone_number": "304-366-5588",
            "fax_number": "304-366-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542830",
            "telephone_number": "304-366-5588",
            "fax_number": "304-366-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HEALTH DEPARTMENT HOME HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-366-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RS MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "022188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022865001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, 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.