Brooke County Health Department
Organization Active NPI Public Health or Welfare Agency · Wellsburg, WV
NPI 1194945006 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1194945006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 17078 (WV)
- Legal business name
- BROOKE COUNTY HEALTH DEPARTMENT
- Practice address
- 632 Main St
Wellsburg, WV 26070-1743 - Phone
- (304) 737-3665
- Fax
- (304) 737-3665
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Joseph Depetro, M.D.
- Title
- Health Officer
- Phone
- (304) 737-3665
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Brooke County Health Department
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 17078 | WV | Yes |
Addresses
Primary practice location
632 Main St
Wellsburg, WV 26070-1743
Mailing address
632 Main St
Wellsburg, WV 26070-1743
Phone (304) 737-3665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021216003 | Medicaid | WV |
Other providers in Wellsburg, WV
- Jenna Broda
- Brooke Cnty HLTH Dept
- Brooke County Board of Education
- Brooke County Board of Education
- Brooke County Commission
- Brooke County Health Department
- Brooke County Health Department
- Amy Elizabeth Butts
- Samantha A Byrum
- Kimberly Caldwell
All providers in Wellsburg, WV · Public Health or Welfare Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.