Organization Active NPI

Lewis County Board of Health

  • Public Health or Welfare Agency
  • Weston, WV
National Provider Identifier
1245327709
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LEWIS COUNTY BOARD OF HEALTH
Practice address
125 Court Ave
Weston, WV 26452-1915
Phone
(304) 269-8218
Fax
(304) 269-8220
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mrs. Genevieve M Ruble, RN
Title
Administrator
Phone
(304) 269-8218

Specialties & licenses 1

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

Addresses

Primary practice location

125 Court Ave
Weston, WV 26452-1915

Mailing address

125 Court Ave
Weston, WV 26452-1915
Phone (304) 269-8218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000274 WV Part B Supplier - Mass Immunization (Roster Biller Only) 7113968371 Practice locations: Weston, WV

National Provider Directory

National Provider Directory

Locations

125 Court Ave
Weston, WV 26452
Phone (304) 269-8218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1245327709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COURT AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521915",
            "telephone_number": "304-269-8218",
            "fax_number": "304-269-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COURT AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521915",
            "telephone_number": "304-269-8218",
            "fax_number": "304-269-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-269-8218",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.