Organization
CLAY COUNTY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MILLER (MEDICAID SPECIALIST)
(304) 766-7655
Entity
Organization
Contact information
Practice address
#1 GUMP STREET, CLAY, WV 25043
(304) 587-4266
(304) 587-4181
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012389000
—
WV
Enumeration date
07/19/2007
Last updated
03/05/2008
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