Beckley-Raleigh County Board of Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

BECKLEY-RALEIGH COUNTY BOARD OF HEALTH

Practice address

1602 Harper Rd
Beckley, WV 25801-3310

Phone

(304) 252-8531

Fax

(304) 252-0466

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

John Stanley Walls

Title

Administrator

Phone

(304) 255-6564

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Wayne Macaulay, MD

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1750382297
  Medicare reassignment Care Compare group NPD
• Michele Calderon Villanueva, RN, MSN, C-FNP

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1447691076
  Medicare reassignment Care Compare group NPD
• Candance Michelle Hurd, RN

  • Registered Nurse
  • Beckley, WV
  • NPI 1689803892
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1922026988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013310",
            "telephone_number": "304-255-6564",
            "fax_number": "304-252-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013310",
            "telephone_number": "304-252-8531",
            "fax_number": "304-252-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY-RALEIGH COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-255-6564"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021384000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beckley Vamc
• Beckley Vamc
• Beckley Vamc
• Beckley Vascular Associates PLLC (River Region Surgical Specialists)
• Beckley Vision Center, PLLC
• Beckley-Uha
• Evert Lyle Beckner
• Amir George Bekhit, RP
• Michelle Beland
• Candace Grace Belcher

• State or Local Public Health Clinic/Center in Beckley, WV
• Providers in Beckley, WV by specialty
• State or Local Public Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.