Active NPI
Clay County Board of Health
Doing business as Clay County Health Department
- Public Health or Welfare Agency
- Clay, WV
National Provider Identifier
1801803465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CLAY COUNTY BOARD OF HEALTH
- Doing business as
- Clay County Health Department
- Practice address
- 452 Main St
Clay, WV 25043 - Phone
- (304) 587-4269
- Fax
- (304) 587-7415
- NPI assigned
- Aug 3, 2006
- Last updated
- Apr 2, 2020
- 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
- Mrs. Angela B Brown, FNP-C
- Title
- Local Health Administrator I
- Phone
- (304) 587-4269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
452 Main St
Clay, WV 25043
Mailing address
PO Box 36
Clay, WV 25043-0036
Phone (304) 587-4269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021182004 | Medicaid | WV | |
| 0021182003 | Medicaid | WV | |
| 0021182001 | Medicaid | WV |
Other names 1
- CLAY COUNTY HEALTH DEPARTMENT
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Clay, WV
- NPI 1033560883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1801803465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "CLAY",
"state": "WV",
"postal_code": "250430036",
"telephone_number": "304-587-4269",
"fax_number": "304-587-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 MAIN ST",
"city": "CLAY",
"state": "WV",
"postal_code": "25043",
"telephone_number": "304-587-4269",
"fax_number": "304-587-7415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAY COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "LOCAL HEALTH ADMINISTRATOR I",
"authorized_official_telephone_number": "304-587-4269",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0021182004",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0021182003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0021182001",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLAY COUNTY HEALTH DEPARTMENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CLAY COUNTY HEALTH DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clay, WV
- Sonja L Christian
- Angela Dawn Church
- Clay County Ambulance Services
- Clay County Board of Education
- Clay County Board of Health (Clay County Health Department)
- Clay County Development Corporation
- Clay County Development Corporation
- Clay County Development Corporation
- Clay County Development Corporation
- Clay County Emergency Ambulance
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.