Provider Demographics
NPI:1619159894
Name:WHEELING OHIO COUNTY BOARD OF HEALTH
Entity type:Organization
Organization Name:WHEELING OHIO COUNTY BOARD OF HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:304-234-3682
Mailing Address - Street 1:WHEELING-OHIO COUNTY HEALTH DEPARTMENT
Mailing Address - Street 2:1500 CHAPLINE STREET
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-234-3682
Mailing Address - Fax:
Practice Address - Street 1:WHEELING-OHIO COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:1500 CHAPLINE STREET
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-234-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0021411000Medicaid