BOONE MEMORIAL HOSPITAL INC (NPI# 1871543322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871543322 |
| Entity Type | Organization |
| Organization Name | BOONE MEMORIAL HOSPITAL INC |
| Other Organization Name | BOONE MEMORIAL HOSPITAL |
| Practice 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 | 2012-09-21 |
| Authorized Official Name | MR. RANDELL DAVIS FOXX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3043691230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 119 | WV | Hospital Units |
| Other Name | Type Code |
|---|---|
| BOONE MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1285686725 | Boone Memorial Hospital Inc | Clinic/Center | 701 Madison Ave, Madison, WV 25130-1669 | 2006-05-16 |
| 1639135221 | Boone Memorial Hospital Inc | Pharmacy | 701 Madison Ave, Madison, WV 25130-1669 | 2006-04-24 |
| Street Address |
701 MADISON AVE |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412472 | James Kenton Walker | Family Medicine | 701 Madison Ave, Madison, WV 25130-1669 | 2006-01-23 |
| 1316593270 | Jessica Toath-callahan | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2019-08-15 |
| 1467013243 | Kerri Anne Spry-lambert | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1669 | 2019-06-24 |
| 1710456561 | Casey Shannon Hatfield | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1699 | 2018-11-21 |
| 1265927750 | Melissa Ann Price | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2018-06-27 |
| 1154844249 | Heather Kay Legg | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-20 |
| 1346763786 | Jackson B Austin | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-18 |
| 1184091399 | Robert Lee Foster Jr. | Pharmacist | 701 Madison Ave, Madison, WV 25130-1669 | 2015-08-24 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| 1942694971 | Shane Cook | Dermatology | 701 Madison Ave, Madison, WV 25130-1669 | 2015-03-27 |
| Find all providers in the same location | ||||
| 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 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083684856 | Madison County Hospital Health Systems, Inc. | Medicare Defined Swing Bed Unit | 224 Nw Crane Avenue, Madison, FL 32340-1400 | 2006-01-25 |
| 1235348053 | Morgan County Georgia Hospital Authority | Medicare Defined Swing Bed Unit | 1077 S Main St, Madison, GA 30650-2073 | 2007-05-21 |
| 1942246848 | Madison Healthcare Services | Medicare Defined Swing Bed Unit | 820 3rd Ave, Madison, MN 56256-1014 | 2006-06-21 |
| 1265402838 | Madison Community Hospital | Medicare Defined Swing Bed Unit | 323 Sw 10th St, Madison, SD 57042-3200 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1649277476 | Community Health Association | Medicare Defined Swing Bed Unit | 122 Pinnell Street, Ripley, WV 25271-0720 | 2005-07-07 |
| 1730788399 | Marietta Memorial Hospital of Tyler County Inc | Medicare Defined Swing Bed Unit | 314 S Wells St, Sistersville, WV 26175-1098 | 2020-10-23 |
| 1376175240 | Wetzel County Hospital, Inc. | Medicare Defined Swing Bed Unit | 3 E Benjamin Dr, New Martinsville, WV 26155-2758 | 2020-02-10 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1407223571 | Lindsey M Tabor | Medicare Defined Swing Bed Unit | 324 Miller Mountain Dr, Webster Springs, WV 26288-1065 | 2015-08-25 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1982836326 | Montgomery General Hospital, Inc | Medicare Defined Swing Bed Unit | 401 Sixth Avenue, Montgomery, WV 25136-2116 | 2009-08-19 |
| 1437391414 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Dr, Petersburg, WV 26847-9549 | 2009-04-06 |
| Find all providers with the same taxonomy | ||||
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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.