NPIMap

Organization Active NPI

Brooke County Health Department

  • Public Health or Welfare Agency
  • Wellsburg, WV
National Provider Identifier
1730309642
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
17078 Issued in WV
Legal business name
BROOKE COUNTY HEALTH DEPARTMENT
Practice address
632 Main St
Wellsburg, WV 26070-1743
Phone
(304) 737-3665
Fax
(304) 737-3689
NPI assigned
Apr 26, 2007
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Joseph Depetro, M.D.
Title
Health Officer
Phone
(304) 737-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 17078 WV Primary

Addresses

Primary practice location

632 Main St
Wellsburg, WV 26070-1743

Mailing address

632 Main St
Wellsburg, WV 26070-1743
Phone (304) 737-3665

Other identifiers 1

IdentifierTypeStateIssuer
0021216004MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Brooke County Health Department3 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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1730309642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701743",
            "telephone_number": "304-737-3665",
            "fax_number": "304-737-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701743",
            "telephone_number": "304-737-3665",
            "fax_number": "304-737-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "DEPETRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "304-737-3665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": "17078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021216004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.