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Contact Information

WIRT COUNTY HEALTH SVC ASSOC INC
606 WASHINGTON ST
RAVENSWOOD, WV26164-1730
 Phone: 304-868-6050
 Fax: 304-868-2048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WIRT COUNTY HEALTH SVC ASSOC INC

NPI Number 1912090135
LBN Legal business name WIRT COUNTY HEALTH SVC ASSOC INC
Authorized official DEREK SNYDER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 01/20/2017 - About 9 years ago
Identifiers
WV License # SP0552345
OH Medicaid 2721077
WV Medicaid 3810006374
Other 2111629 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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