Organization Active NPI

Wirt County Health Services Association Inc

Doing business as Wirt County High School

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
National Provider Identifier
1972463164
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
Doing business as
Wirt County High School
Practice address
431 Mulberry Street
Elizabeth, WV 26143
Phone
(304) 275-4241
NPI assigned
Nov 12, 2025
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Rob Dudley
Title
Ceo
Phone
(304) 861-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

431 Mulberry Street
Elizabeth, WV 26143

Mailing address

PO Box 609
Elizabeth, WV 26143-0609

Other names 1

  • Wirt County High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wirt County Health Services Association Inc19 organizations share this tax ID, including this one
Part of
Wirt County Health Services Association Inc

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1972463164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MULBERRY STREET",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "26143",
            "telephone_number": "304-275-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRT COUNTY HEALTH SERVICES ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIRT COUNTY HEALTH SERVICES ASSOCIATION INC",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-861-4100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wirt County High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.