BOONE MEMORIAL HOSPITAL INC (NPI# 1578513032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578513032 |
Entity Type | Organization |
Organization Name | BOONE MEMORIAL HOSPITAL INC |
Other Organization Name | BMH RURAL HEALTH CLINIC |
Practice Address |
697 Madison Avenue Madison WV 25130 |
Mailing Address |
701 Madison Ave Madison WV 25130-1669 |
Practice Telephone | 3043691230 |
Practice Fax Number | 3043696036 |
Mailing Telephone | 3043691230 |
Mailing Fax Number | 3043696036 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-09-21 |
Authorized Official Name | CHAD HOVIS (CFO) |
Authorized Official Telephone | 3043692922 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 119 | WV | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0001313004 | 05 |
Other Name | Type Code |
---|---|
BMH Rural Health Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285686725 | Boone Memorial Hospital Inc | Clinic/Center | 701 Madison Ave, Madison, WV 25130-1669 | 2006-05-16 |
1871543322 | Boone Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 701 Madison Ave, Madison, WV 25130-1669 | 2006-05-12 |
1639135221 | Boone Memorial Hospital Inc | Pharmacy | 701 Madison Ave, Madison, WV 25130-1669 | 2006-04-24 |
Street Address |
697 MADISON AVENUE |
City | MADISON |
State | WV |
Zip Code | 25130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
Find all providers in zip 25130 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.