MEMORIAL HOSPITAL, INC.


Address: 705 C Street, Ceredo, WV 25507
Phone: 3044533590

MEMORIAL HOSPITAL, INC. (NPI# 1598782096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598782096
Entity Type Organization
Organization Name MEMORIAL HOSPITAL, INC.
Other Organization Name PREFERRED HOME HEALTH
Practice Address 705 C Street
Ceredo
WV 25507
Mailing Address Po Box 415
Ceredo
WV 25507-0415
Practice Telephone 3044533590
Practice Fax Number 3044533594
Mailing Telephone 3044533590
Mailing Fax Number 3044533594
Enumeration Date 2006-07-17
Last Update Date 2020-08-22
Authorized Official Name RICHARD BOGGESS (CFO)
Authorized Official Telephone 6065985104
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 150039 KY Agencies

Other Provider Identifier

State Issuer Identifier Type Code
KY 0004862000 05

Other Provider/Organization Names

Other Name Type Code
Preferred Home Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891720348 Memorial Hospital, Inc. Home Health 155 E 2nd Ave, Williamson, WV 25661-3601 2006-07-12
1902839293 Memorial Hospital, Inc. Home Health 149 Health Care Ln, Jellico, TN 37762-4433 2006-07-09
1376532713 Memorial Hospital, Inc. Clinic/Center 502 E Elm Dr, Loyal, WI 54446-9604 2005-10-18
1457999476 Memorial Hospital, Inc. Clinic/Center 102 W Cannery St, Greenwood, WI 54437-9705 2019-12-20
1760020838 Memorial Hospital, Inc. Clinic/Center 212800 Stainless Ave, Stratford, WI 54484-4325 2019-12-19
1780222844 Memorial Hospital, Inc. Clinic/Center 111 Dehne Dr, Colby, WI 54421-9581 2019-12-19
1881112134 Memorial Hospital, Inc. Clinic/Center 145 Orchard St, Oneida, KY 40972 2017-09-07
1902208267 Memorial Hospital, Inc. Pediatrics 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 2014-09-18
1962803460 Memorial Hospital, Inc. Clinic/Center 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 2014-09-16
1598166092 Memorial Hospital, Inc. Family Medicine 515 Memorial Dr, Manchester, KY 40962-9157 2014-09-16

Office Location

Street Address 705 C STREET
City CEREDO
State WV
Zip Code 25507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598138083 Joyce Maynard Massage Therapist 303 6th Street West, Suite 7, Ceredo, WV 25507 2015-11-05
1376927640 River Health Systems LLC In Home Supportive Care 711 C Street, Ceredo, WV 25507 2015-07-16
1922412014 Mrnb Inc Pharmacy Us Route 60 At 4th St, Store Room 20, Ceredo, WV 25507 2014-06-17
1053472696 William Craig Bowen Dentist 390 C Street, Ceredo, WV 25507 2006-12-13
1821109299 Michael James Fredrick Chiropractor 890 B Street, Ceredo, WV 25507 2006-08-31
1609877273 Ceredo Volunteer Fire Department Inc Ambulance 600 B St., Ceredo, WV 25507 2005-08-09
1790393577 Star Michelle Roe Nurse Practitioner 402 C Street, Ceredo, WV 25507 2020-07-17
1124648670 Abigail Richardson Nurse Practitioner 402 C Street, Ceredo, WV 25507 2020-04-24
1639710965 Integrated Psychiatric Care LLC Nurse Practitioner 402 C Street, Ceredo, WV 25507 2019-10-08
1679944383 Oncall Health and Aesthetic Care Nurse Practitioner 402 C Street, Ceredo, WV 25507 2015-10-08
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750982997 Wvuhs Home Care, LLC Home Health 64 State St, Gassaway, WV 26624-1132 2020-11-04
1982205100 Wvuhs Home Care, LLC Home Health 130 E Burr Blvd Fl 1, Kearneysville, WV 25430-4788 2020-11-04
1720687478 E & A Pediatric Home Health Services Home Health 207 W. Washington Street, Charles Town, WV 25414 2020-10-23
1215536222 Right At Home Home Health 313 Locus St, Princeton, WV 24740 2020-10-21
1750998159 Kenneth James Epperly Home Health 708 Central Ave, Barboursville, WV 25504-1304 2020-09-29
1386250322 Stephanie Mason Home Health 1211 Beechview Rd, Mount Hope, WV 25880-8947 2020-09-16
1801412648 Personal Touch Home Care of W.va., Inc. Home Health 155 N Queen St, Martinsburg, WV 25401-3311 2020-06-17
1790300739 Personal Touch Home Care of W. Va, Inc. Home Health 829 Fairmont Rd., Suite 104, Westover, WV 26501-3892 2020-06-16
1437770617 Hussein Ali Elmi Home Health 602 Tennessee Ave Ste 702-704, Charleston, WV 25302-2328 2020-04-29
1023638061 Gateway Home Care, LLC Home Health 2673 Davisson Run Rd, Clarksburg, WV 26301-6838 2020-04-20
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Competitor

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City CEREDO
Zip Code 25507

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Dataset Information

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.

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