MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES – NPI #1174725188
Clinic/Center

MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES is an AHC clinic located in PETERSTOWN, WV. NPPES has assigned the NPI number 1174725188 to MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES on June 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 11 years ago on Nov 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES below.

NPI Profile for
MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES

NPI Number
1174725188
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES
Primary location
2869 SENECA TRAIL
PETERSTOWN, WV 24963
Phone: (304) 753-4336 Fax: (304) 753-4097
Mailing address
200 HEALTH CENTER DRIVE
PO BOX 590
UNION, WV 24983
Phone: (304) 772-3064 Fax: (304) 772-3296
Organization Subpart
Yes - MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES is subpart of another organization.
Authorized Official
JAMES NELSON
CEO
Phone: (304) 772-3064
Updated
Identifiers

Identifiers for MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAWV5611053
OTHERBC/BSWV001706775
OTHERMEDICARE RR GROUPWVDB2513
MEDICAIDWV3810011420
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 WV

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.