Provider Demographics
NPI:1588113765
Name:HAMPSHIRE COUNTY COMMISSION
Entity type:Organization
Organization Name:HAMPSHIRE COUNTY COMMISSION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:OURS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:304-822-3009
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-0844
Mailing Address - Country:US
Mailing Address - Phone:304-822-3009
Mailing Address - Fax:304-822-2662
Practice Address - Street 1:25 S GRAFTON ST
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-1802
Practice Address - Country:US
Practice Address - Phone:304-822-3009
Practice Address - Fax:304-822-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health