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WETZEL TYLER BOARD OF HEALTH NPI 1740403443


NPI Information

NPI: 1740403443
Provider Name: WETZEL TYLER BOARD OF HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 51D0661791

Address:
425 S 4TH AVE
PADEN CITY, WV
ZIP 26159
Phone: (304) 337-2001
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WETZEL TYLER BOARD OF HEALTH is a public health or welfare in Paden City, WV. WETZEL TYLER BOARD OF HEALTH NPI is 1740403443. The provider is registered as an organization entity type.

The provider's business location address is:

425 S 4TH AVE
PADEN CITY, WV
ZIP 26159-200
Phone: (304) 337-2001
Fax: (304) 337-2004

The provider's authorized official is Karen K Cain .
The authorized official title is Rn Administrator and has the following contact phone number (304) 337-2001.

The CLIA number assigned to this NPI record is 51D0661791 - other - local health department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 12/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10021186004MEDICAIDWEST VIRGINIA
20021186001MEDICAIDWEST VIRGINIA
30021186000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.