Organization
JEFFERSON COUNTY BOARD OF HEALTH
Active
Other names
Jefferson County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE J REIDY (HEALTH OFFICER)
(304) 728-8416
Entity
Organization
Contact information
Practice address
1948 WILTSHIRE RD STE 1, KEARNEYSVILLE, WV 25430-2783
(304) 728-8416
(304) 728-3319
Mailing address
1948 WILTSHIRE RD STE 1, KEARNEYSVILLE, WV 25430-2783
(304) 728-8416
(304) 728-3319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019461000
—
WV
05
—
0019461001
—
WV
05
—
1948
—
WV
Enumeration date
04/11/2013
Last updated
03/20/2023
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