Organization Active NPI

Gilmer County Board of Health

Doing business as Gilmer County Health Department

  • Public Health or Welfare Agency
  • Glenville, WV
National Provider Identifier
1871784355
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GILMER COUNTY BOARD OF HEALTH
Doing business as
Gilmer County Health Department
Practice address
809 Medical Dr
Suite #3
Glenville, WV 26351-1274
Phone
(304) 462-7351
Fax
(304) 462-8956
NPI assigned
Aug 8, 2007
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Mrs. Carol Annette Beam
Title
Administrator
Phone
(304) 462-7351

Specialties & licenses 1

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

Addresses

Primary practice location

809 Medical Dr
Suite #3
Glenville, WV 26351-1274

Mailing address

809 Medical Dr
Suite #3
Glenville, WV 26351-1274
Phone (304) 462-7351

Other names 1

  • Gilmer County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000106 WV Part B Supplier - Mass Immunization (Roster Biller Only) 3476512013 Practice locations: Glenville, WV

National Provider Directory

National Provider Directory
Tax ID family
Gilmer County Board of Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

809 Mineral Rd
Ste 3
Glenville, WV 26351
Phone (304) 462-7351

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1871784355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MEDICAL DR",
            "address_2": "SUITE #3",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511274",
            "telephone_number": "304-462-7351",
            "fax_number": "304-462-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MEDICAL DR",
            "address_2": "SUITE #3",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511274",
            "telephone_number": "304-462-7351",
            "fax_number": "304-462-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-462-7351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmer County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.