A Kanawha-Charleston Health Department administrator said this week the agency doesn't have a fiber connection.
"KCHD has not been notified nor have we requested a Cisco router," said Lolita Kirk, administrative services director.
State officials said most health departments likely wouldn't make the final cut and receive routers.
"The fact they've been approved doesn't mean they will ultimately get a router," said Gale Given, West Virginia's chief technology officer.
The federal government's broadband grant program defines community anchor institutions as "schools, libraries medical and healthcare providers, public safety entities, community colleges and other institutions of higher education."
The definition goes on to say the agencies should provide "outreach, access, equipment and support services to facilitate greater use of broadband service by vulnerable populations, including low-income, the unemployed and the aged."
The state also has cobbled together a separate list of about 200 additional replacement sites that may receive routers. Gianato would not provided a copy of that list to the Gazette this week, saying the state had yet to submit the document to the federal government for approval.
Last month, two U.S. House Energy and Commerce subcommittee chairmen asked for the inspector general to investigate West Virginia's use of the stimulus funds to purchase more than 1,000 routers.
The request followed a series of reports in the Gazette that raised questions about the equipment's size and cost.
The state purchased Cisco 3945 series routers, which are designed to serve 500 or more users at places such as corporations, medical centers and universities.
In West Virginia, 70 percent of the pricey routers are being installed at schools and libraries. Some locations have only a handful of Internet connections.
Some public agencies have refused to install the "enterprise-class" routers, saying they're unneeded and a waste of taxpayer funds.
State officials have defended the router purchase. They say the Cisco routers will serve public facilities' technology for at least the next 10 years.
Reach Eric Eyre at erice...@wvgazette.com or 304-348-4869.