Organization Active NPI

Mineral County Board of Health

  • Public Health or Welfare Agency
  • Keyser, WV
National Provider Identifier
1497822746
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MINERAL COUNTY BOARD OF HEALTH
Practice address
Harley O. Staggers Sr. Drive
Keyser, WV 26726-9401
Phone
(304) 788-1321
Fax
(304) 788-6023
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. Charles D Bess, M.D.NPI 1528069614
Title
Physician, Director
Phone
(304) 788-1321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

Harley O. Staggers Sr. Drive
Keyser, WV 26726-9401

Mailing address

541 Harley O Staggers Dr Ste 1
Keyser, WV 26726-8203
Phone (304) 788-1321

Other identifiers 2

IdentifierTypeStateIssuer
0021252000MedicaidWV
0053885000MedicaidWV

Other names 1

  • MINERAL CNTY HLTH DEPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022001884 WV Part B Supplier - Clinic/Group Practice 7719144294 Receives reassigned benefits from 1 practitioner
Practice locations: Keyser, WV

National Provider Directory

National Provider Directory

Locations

541 Harley O Staggers Dr
Ste 1
Keyser, WV 26726
Phone (304) 788-1321

Practitioners & affiliated clinicians

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1497822746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HARLEY O STAGGERS DR STE 1",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267268203",
            "telephone_number": "304-788-1321",
            "fax_number": "304-788-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARLEY O. STAGGERS SR. DRIVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269401",
            "telephone_number": "304-788-1321",
            "fax_number": "304-788-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "BESS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN, DIRECTOR",
        "authorized_official_telephone_number": "304-788-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021252000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053885000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINERAL CNTY HLTH DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MINERAL CNTY HLTH DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.