NPIMap

Organization Active NPI

Mercer County Health Department

  • Primary Care Clinic/Center
  • Bluefield, WV
National Provider Identifier
1861696601
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MERCER COUNTY HEALTH DEPARTMENT
Practice address
978 Blue Prince Rd
Bluefield, WV 24701-5074
Phone
(304) 324-8367
Fax
(304) 324-8843
NPI assigned
Jun 14, 2007
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Mrs. Phyllis Susan Kadar
Title
Administrator
Phone
(304) 324-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

978 Blue Prince Rd
Bluefield, WV 24701-5074

Mailing address

978 Blue Prince Rd
Bluefield, WV 24701-5074
Phone (304) 324-8367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110825000087 WV Part B Supplier - Clinic/Group Practice 4284675448 Receives reassigned benefits from 5 practitioners
Practice locations: Bluefield, WV

National Provider Directory

National Provider Directory

Locations

1331 Southview Dr
Ste 9
Bluefield, WV 24701
Phone (304) 324-8367

978 Blue Prince Rd
Bluefield, WV 24701
Phone (304) 324-8367

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1861696601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 BLUE PRINCE RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247015074",
            "telephone_number": "304-324-8367",
            "fax_number": "304-324-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 BLUE PRINCE RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247015074",
            "telephone_number": "304-324-8367",
            "fax_number": "304-324-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "KADAR",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-324-8367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.