HERBERT J THOMAS MEMORIAL HOSPITAL ASSOC (NPI# 1841694908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841694908 |
| Entity Type | Organization |
| Organization Name | HERBERT J THOMAS MEMORIAL HOSPITAL ASSOC |
| Other Organization Name | THOMAS MEMORIAL HOSPITAL |
| Practice Address |
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 |
| Practice Telephone | 3047663774 |
| Practice Fax Number | 3044142718 |
| Mailing Telephone | 3047663774 |
| Mailing Fax Number | 3044142718 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DEBBIE L RUSSELL (PT ACCT MANAGER) |
| Authorized Official Telephone | 3047663774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 39 | WV | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001391002 | 05 |
| Other Name | Type Code |
|---|---|
| THOMAS MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| Street Address |
4605 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425542 | David Abramowitz | Radiology | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2005-05-31 |
| 1609494269 | Tabitha Michelle Spence | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-07-10 |
| 1538781703 | Premier Surgical Assist, Inc. | Surgery | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-05-11 |
| 1629690037 | Stephanie Shamma | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1398 | 2020-05-08 |
| 1174187603 | Herbert J Thomas Memorial Hospital Association | Substance Abuse Rehabilitation Facility | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2019-04-30 |
| 1659856383 | Maccorkle Emergency Physicians Pllc | Physician Assistant | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-09-28 |
| 1386122844 | Hospitalist Medicine Physicians of West Virginia- Tcg, Pllc | Internal Medicine | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-08-06 |
| 1245717222 | Kelsey Leigh Higgins | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-23 |
| 1982180709 | Samantha Craigo | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-15 |
| 1316430564 | Nicholas E. Clark | Nurse Anesthetist, Certified Registered | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275620809 | Herbert J Thomas Memorial Hospital Association | Psychiatric Unit | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962472548 | St Marys Medical Center, Inc | Psychiatric Unit | 2900 First Ave, Huntington, WV 25702 | 2006-01-25 |
| 1558342543 | West Virginia University Hospitals, Inc. | Psychiatric Unit | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2005-11-08 |
| 1770048043 | Davis Memorial Hospital | Psychiatric Unit | 812 Gorman Ave, Elkins, WV 26241-3181 | 2019-01-31 |
| 1649711722 | Alecto Healthcare Services Wheeling LLC | Psychiatric Unit | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-03-09 |
| 1689115776 | Alecto Healthcare Services Wheeling LLC | Psychiatric Unit | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-03-09 |
| 1346658440 | Alecto Healthcare Services Fairmont LLC | Psychiatric Unit | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-08-01 |
| 1669736997 | Weirton Medical Center | Psychiatric Unit | 601 Colliers Way, Weirton, WV 26062-5014 | 2012-07-02 |
| 1760657563 | Fairmont General Hospital | Psychiatric Unit | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2008-04-23 |
| 1235311044 | Princeton Community Hospital Association, Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-04 |
| 1265630057 | Uha | Psychiatric Unit | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2007-07-03 |
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| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.