Provider Demographics
NPI:1578991733
Name:MID-OHIO VALLEY BOARD OF HEALTH
Entity Type:Organization
Organization Name:MID-OHIO VALLEY BOARD OF HEALTH
Other - Org Name:MID-OHIO VALLEY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WITTBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD/ MBA
Authorized Official - Phone:304-485-7374
Mailing Address - Street 1:211 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5113
Mailing Address - Country:US
Mailing Address - Phone:304-485-7374
Mailing Address - Fax:304-485-0137
Practice Address - Street 1:211 6TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5113
Practice Address - Country:US
Practice Address - Phone:304-485-7374
Practice Address - Fax:304-485-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV026176251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare