Organization
RANDOLPH ELKINS HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S SANDERS (ADMINISTRATIVE ASSISTANT)
(304) 636-0396
Entity
Organization
Contact information
Practice address
201 HENRY AVE, ELKINS, WV 26241
(304) 636-0396
(304) 637-5902
Mailing address
201 HENRY AVE, ELKINS, WV 26241
(304) 636-0396
(304) 637-5902
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021395000
—
WV
01
—
0021395001
UNICARE
WV
01
—
HD159
THE HEALTH PLAN
WV
Enumeration date
03/29/2007
Last updated
08/22/2020
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