Organization Active NPI

Putnam County Health Dept

  • Public Health or Welfare Agency
  • Winfield, WV
National Provider Identifier
1952402463
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
042197 Issued in WV
Legal business name
PUTNAM COUNTY HEALTH DEPT
Practice address
11878 Winfield Rd Ste B
Winfield, WV 25213-7914
Phone
(304) 757-2541
Fax
(304) 757-7287
NPI assigned
Sep 26, 2006
Reactivated
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Candace L Nunley
Title
Practice Manager
Phone
(304) 757-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 042197 WV Primary

Addresses

Primary practice location

11878 Winfield Rd Ste B
Winfield, WV 25213-7914

Mailing address

PO Box 892
Winfield, WV 25213-0892
Phone (304) 757-2541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001111 WV Part B Supplier - Clinic/Group Practice 0547200297 Receives reassigned benefits from 2 practitioners
Practice locations: Winfield, WV

National Provider Directory

National Provider Directory

Locations

1401 Hospital Dr
Ste 304
Hurricane, WV 25526
Phone (304) 351-1567

11878 Winfield Rd
Ste B
Winfield, WV 25213
Phone (304) 757-2541

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1952402463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252130892",
            "telephone_number": "304-757-2541",
            "fax_number": "304-757-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11878 WINFIELD RD STE B",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252137914",
            "telephone_number": "304-757-2541",
            "fax_number": "304-757-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "deactivation_date": "2014-12-16",
        "reactivation_date": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "NUNLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-757-2541"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WV",
            "license": "042197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.