Organization
BECKLEY-RALEIGH COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STANLEY WALLS (ADMINISTRATOR)
(304) 255-6564
Entity
Organization
Contact information
Practice address
1602 HARPER RD, BECKLEY, WV 25801-3310
(304) 252-8531
(304) 252-0466
Mailing address
1602 HARPER RD, BECKLEY, WV 25801-3310
(304) 255-6564
(304) 252-0466
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021384000
—
WV
Enumeration date
07/18/2006
Last updated
01/29/2014
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