Harrison-Clarksburg Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

HARRISON-CLARKSBURG HEALTH DEPARTMENT

Practice address

330 W Main St
Clarksburg, WV 26301-2910

Phone

(304) 623-9308

Fax

(304) 623-9364

NPI assigned

Sep 15, 2006

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Charles Bundy, MPA

Title

Administrator

Phone

(304) 623-9308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Harrison-Clarksburg Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Right From the Start Project

  • Case Management Agency
  • Clarksburg, WV
  • NPI 1477717056
  NPD tax ID

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1205932472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012910",
            "telephone_number": "304-623-9308",
            "fax_number": "304-623-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012910",
            "telephone_number": "304-623-9308",
            "fax_number": "304-623-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON-CLARKSBURG HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-623-9308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison County Senior Citizens Center, Inc.
• Harrison County Senior Citizens Center, Inc.
• Harrison County Senior Citizens Center, Inc.
• Harrison County Senior Citizens Center, Inc.
• Harrison County Society for Crippled Children and Adults (Childrens Treatment Ctr and Adult Therapy Clinic)
• Tre Xzaver Hart
• Amber Ann Hartsell
• Ashlynn Kae Hatfield, LPN
• Claudia Hatfield, RN BSN
• Haley Hawkins

• Public Health or Welfare Agency in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Public Health or Welfare Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.