Jackson County School Wellness Center
LBN: Wirt County Health Services Association, Inc
Jackson County School Wellness Center is an health care organization with primary practice located at 4A School St , Ripley WV 25271-1538. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Wirt County Health Services Association, Inc can be contacted via phone (304) 372-7341, or through Knicely, Vicki L. via phone (304) 275-3301.
Contact Information
Primary practice address
4A School St
Ripley WV 25271-1538
Phone: (304) 372-7341
Fax: (304) 372-7341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1265615728 |
|---|---|
| LBN Legal business name | Wirt County Health Services Association, Inc |
| DBA Doing business as | Jackson County School Wellness Center |
| Authorized official | Knicely, Vicki L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Jan 3rd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265615728 | NPPES |
| West Virginia | MEDICAID | 0009486002 |
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