Organization
JACKSON COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN G HOSAFLOOK RN (ADMINISTRATOR)
(304) 372-2634
Entity
Organization
Contact information
Practice address
504 S CHURCH ST, RIPLEY, WV 25271-1616
(304) 372-2634
(304) 372-1096
Mailing address
504 S CHURCH ST, RIPLEY, WV 25271-1616
(304) 372-2634
(304) 372-1096
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021263000
—
WV
05
—
0021263001
—
WV
05
—
0021263004
—
WV
05
—
0021263005
—
WV
Enumeration date
10/04/2006
Last updated
07/21/2022
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