Active NPI
McDowell County Health Unit
- Public Health or Welfare Agency
- Wilcoe, WV
National Provider Identifier
1457562878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MCDOWELL COUNTY HEALTH UNIT
- Practice address
- RT 103
Wilcoe, WV 24895 - Phone
- (304) 448-2174
- Fax
- (304) 448-3777
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse J Rose
- Title
- Administrator
- Phone
- (304) 448-2174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
RT 103
Wilcoe, WV 24895
Mailing address
PO Box 218
RT. 103
Wilcoe, WV 24895-0218
Phone (304) 448-2174
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021333003 | Other | WV | FAMILY PLANNING |
| 0021333000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140326000653 | WV | Part B Supplier - Clinic/Group Practice | 8022249580 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilcoe, WV |
National Provider Directory
National Provider Directory- Tax ID family
- McDowell County Health Department
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Wilcoe, WV
- NPI 1427453075
-
- Non-Surgical Family Planning Clinic/Center
- Wilcoe, WV
- NPI 1295143923
-
- Clinic/Center
- Wilcoe, WV
- NPI 1487062113
-
- State or Local Public Health Clinic/Center
- Wilcoe, WV
- NPI 1922416650
-
- Public Health & General Preventive Medicine Physician
- Wilcoe, WV
- NPI 1952719684
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Wilcoe, WV
- NPI 1831507565
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": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1457562878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"address_2": "RT. 103",
"city": "WILCOE",
"state": "WV",
"postal_code": "248950218",
"telephone_number": "304-448-2174",
"fax_number": "304-448-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 103",
"city": "WILCOE",
"state": "WV",
"postal_code": "24895",
"telephone_number": "304-448-2174",
"fax_number": "304-448-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCDOWELL COUNTY HEALTH UNIT",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "304-448-2174"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY PLANNING",
"identifier": "0021333003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0021333000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilcoe, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.