Organization
PENDLETON COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R REXRODE M. D. (PHYSICIAN DIRECTOR)
(304) 358-7565
Entity
Organization
Contact information
Practice address
223 MILL ROAD, FRANKLIN, WV 26807-0520
(304) 358-7565
(304) 358-2471
Mailing address
223 MILL ROAD, PO BOX 520, FRANKLIN, WV 26807-0520
(304) 358-7565
(304) 358-2471
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017909454
BLUE CROSS BLUE SHIELD
WV
Enumeration date
10/13/2006
Last updated
07/21/2022
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