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JEFFERSON COUNTY HEALTH DEPARTMENT
NPI 1417037532
Public Health or Welfare in Kearneysville, WV

Active since October 16, 2006CLIA 51D0964652 · Waiver
1948 WILTSHIRE RD, SUITE 1, KEARNEYSVILLE, WV 25430(304) 728-8416(304) 728-3319 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Feb 9, 2016 (2 updates tracked since 2016).

About Jefferson County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COUNTY HEALTH DEPARTMENT (NPI 1417037532) is a healthcare organization registered as a public health or welfare in Kearneysville, West Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Terrence J Reidy, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1417037532
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameJEFFERSON COUNTY BOARD OF HEALTH
Location Address1948 WILTSHIRE RD, SUITE 1Kearneysville, WV 25430-2783
Mailing Address1948 Wiltshire Rd, Suite 1Kearneysville, WV 25430-2783 · (304) 728-8416 · Fax (304) 728-3319
Phone(304) 728-8416
Fax(304) 728-3319
Organization SubpartNo
Authorized OfficialTerrence J ReidyHealth Officer · (304) 728-8416
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1417037532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in WV · A72206
1948 WILTSHIRE RD, Kearneysville, WV 25430
Open in Google Maps ↗

Other Names 1

Doing Business AsJefferson County Health Department

Other Identifiers 2

Medicaid0019461000WV
Medicaid0019461001WV

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jefferson County Health Department, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terrence Reidy, M.D.
Hematology/Oncology
NPI 1811990641
1948 WILTSHIRE RD STE 1
Kearneysville, WV 25430
(304) 728-8416
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0964652

Jefferson County Health Department · Kearneysville, WV
Active · expires Aug 30, 2027
CLIA Number51D0964652
Laboratory TypePublic Health Laboratories
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorLeah Oxendine
Laboratory Phone(304) 728-8416
Laboratory LocationJefferson County Health Department1948 Wiltshire Road Suite 1, Kearneysville, WV 25430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services40 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Board Of Health's NPI number?

The NPI number for Jefferson County Board Of Health is 1417037532. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider is doing business as Jefferson County Health Department.

Where is Jefferson County Board Of Health located?

Jefferson County Board Of Health is located at 1948 Wiltshire Rd Suite 1, Kearneysville, WV 25430. The listed phone number is (304) 728-8416.

What is Jefferson County Board Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Jefferson County Board Of Health enrolled in Medicare?

Yes. Jefferson County Board Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Board Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Jefferson County Board Of Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jefferson County Board Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0964652) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson County Board Of Health was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.