MEMORIAL HOSPITAL, INC. (NPI# 1891720348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891720348 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MINGO WAYNE HOME HEALTH |
| Practice Address |
155 E 2nd Ave Williamson WV 25661-3601 |
| Mailing Address |
Po Box 445 Williamson WV 25661-0445 |
| Practice Telephone | 3042353010 |
| Practice Fax Number | 3042353014 |
| Mailing Telephone | 3042353010 |
| Mailing Fax Number | 3042353014 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD BOGGESS (CFO) |
| Authorized Official Telephone | 6065985104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 150039 | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0004862000 | 05 |
| Other Name | Type Code |
|---|---|
| Mingo Wayne Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782096 | Memorial Hospital, Inc. | Home Health | 705 C Street, Ceredo, WV 25507 | 2006-07-17 |
| 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 |
| Street Address |
155 E 2ND AVE |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750581310 | Coalfield Community Action Partners | Home Health | 815 Alderson Street, Williamson, WV 25661-3215 | 2007-07-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSON |
| Zip Code | 25661 |
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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.