Clay County Board of Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CLAY COUNTY BOARD OF HEALTH

Doing business as

Clay County Health Department

Practice address

452 Main Street
Clay, WV 25043

Phone

(304) 587-4269

Fax

(304) 587-7415

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By 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. Linda K Klotzbach

Title

Local Health Administrator I

Phone

(304) 587-4269

Specialties & licenses 1

Addresses

Other names 1

• Clay County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Clay County Board of Health3 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.

• Clay County Board of Health

  dba Clay County Health Department FQHC

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1346147493
  NPD tax ID
• Clay County Health Department

  • Case Management Agency
  • Clay, WV
  • NPI 1447640388
  NPD tax ID

Practitioners 1

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.

• Angela B. Brown, FNP-C

  • Family Nurse Practitioner
  • Clay, WV
  • NPI 1033560883
  Medicare reassignment NPD

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1396928099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430036",
            "telephone_number": "304-587-4269",
            "fax_number": "304-587-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-4269",
            "fax_number": "304-587-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KLOTZBACH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LOCAL HEALTH ADMINISTRATOR I",
        "authorized_official_telephone_number": "304-587-4269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonja L Christian
• Angela Dawn Church
• Clay County Ambulance Services
• Clay County Board of Education
• Clay County Board of Health (Clay County Health Department FQHC)
• Clay County Board of Health (Clay County Health Department)
• Clay County Development Corporation
• Clay County Development Corporation
• Clay County Development Corporation
• Clay County Development Corporation

• Case Management Agency in Clay, WV
• Providers in Clay, WV by specialty
• Case Management Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.