Active NPI
Kanawha-Charleston Health Department
- Public Health or Welfare Agency
- Charleston, WV
National Provider Identifier
1952499527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- KANAWHA-CHARLESTON HEALTH DEPARTMENT
- Practice address
- 108 Lee St E
Charleston, WV 25301-1506 - Phone
- (304) 348-8080
- Fax
- (304) 346-4756
- NPI assigned
- Oct 10, 2006
- 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
- Ms. Deanna K Bonham, CMA
- Title
- Office Manager
- Phone
- (304) 348-8080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Public Health or Welfare Agency | 251K00000X | WV | Primary |
Addresses
Primary practice location
108 Lee St E
Charleston, WV 25301-1506
Mailing address
PO Box 927
Charleston, WV 25323-0927
Phone (304) 348-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021340003 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0661680 | Kanawha Charleston Health Department | Certificate of waiver | Oct 2, 2027 |
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.
-
- Emergency Medicine Physician
- Ripley, WV
- NPI 1568430130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1952499527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 927",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253230927",
"telephone_number": "304-348-8080",
"fax_number": "304-346-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LEE ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011506",
"telephone_number": "304-348-8080",
"fax_number": "304-346-4756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANAWHA-CHARLESTON HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "BONHAM",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-348-8080",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMA"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0021340003",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.