National Provider Identifier Database

BOONE MEMORIAL HOSPITAL INC
Critical Access


Contact Information

BOONE MEMORIAL HOSPITAL, INC
701 MADISON AVE
MADISON, WV25130-1669
Phone: 304-369-1230
Fax: 304-369-6036
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for BOONE MEMORIAL HOSPITAL, INC

NPI Number 1639135221
Legal business name
LBN
BOONE MEMORIAL HOSPITAL, INC
Authorized official DOUGLAS MALCOLM - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/24/2006
Last updated 05/29/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 119
  • WV License #: IP0550770
  • WV Medicaid: 0102256000
  • Other: 2109661 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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