Upshur-Buckhannon Health Department
Organization Active NPI Public Health or Welfare Agency · Buckhannon, WV
NPI 1407069990 · NPPES record last updated Feb 20, 2012
Key facts
- NPI
- 1407069990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- UPSHUR-BUCKHANNON HEALTH DEPARTMENT
- Practice address
- 15 North Locust Street
Buckhannon, WV 26201 - Phone
- (304) 472-2810
- NPI assigned
- May 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Josh Marsh
- Title
- Administrator
- Phone
- (304) 472-2810
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051221000388 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921020751 |
Receives reassigned benefits from 1 practitioner Practice locations: Buckhannon, WV |
National Provider Directory
Locations
15 N Locust St
Buckhannon, WV 26201
Phone (304) 472-2810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | WV | Yes |
Addresses
Primary practice location
15 North Locust Street
Buckhannon, WV 26201
Mailing address
15 North Locust Street
Buckhannon, WV 26201
Phone (304) 472-2810
Other providers in Buckhannon, WV
- Upshur County Board of Education
- Upshur County Emergency Medical Services Inc
- Upshur County Senior Citizens Opportunity Center, Inc.
- Upshur County Senior Citizens Opportunity Center, Inc.
- Upshur Medical Management Services
- Judith Utley
- Layni Valdivieso
- Kaylin Vance
- Jolie Vanderhoff
- Loryn Vanscoy
All providers in Buckhannon, 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 Feb 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.