Organization Active NPI

McDowell County Health Unit

  • Public Health or Welfare Agency
  • Wilcoe, WV
National Provider Identifier
1457562878
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Apr 10, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0021333003OtherWVFAMILY PLANNING
0021333000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Department7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.