Organization Active NPI

Berkeley -Morgan County Board of Health

Doing business as Berkeley County Health Department

  • Public Health or Welfare Agency
  • Martinsburg, WV
National Provider Identifier
1265606743
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BERKELEY -MORGAN COUNTY BOARD OF HEALTH
Doing business as
Berkeley County Health Department
Practice address
122 Waverly CT
Martinsburg, WV 25403-1214
Phone
(304) 263-5131
Fax
(304) 263-1067
NPI assigned
Apr 16, 2008
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
George William Kearns IV
Title
Administrator
Phone
(304) 263-5131

Specialties & licenses 1

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

Addresses

Primary practice location

122 Waverly CT
Martinsburg, WV 25403-1214

Mailing address

122 Waverly CT
Martinsburg, WV 25403-1214
Phone (304) 263-5131

Other identifiers 2

IdentifierTypeStateIssuer
0021267001MedicaidWV
0021267002MedicaidWV

Other names 1

  • Berkeley County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121001006 WV Part B Supplier - Public Health/Welfare Agency 3072787472 Receives reassigned benefits from 2 practitioners
Practice locations: Berkeley Springs, WV; Martinsburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0723294Berkeley County Health Department122 Waverly Court, Martinsburg, WV 25403Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Berkeley -Morgan County Board of Health2 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.

Locations

137 War Memorial Dr
Berkeley Springs, WV 25411
Phone (304) 258-1513

122 Waverly Ct
Martinsburg, WV 25403
Phone (304) 263-5131

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1265606743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WAVERLY CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031214",
            "telephone_number": "304-263-5131",
            "fax_number": "304-263-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WAVERLY CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031214",
            "telephone_number": "304-263-5131",
            "fax_number": "304-263-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY -MORGAN COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-263-5131",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021267001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021267002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berkeley County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.