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Contact Information

BOONE MEMORIAL HOSPITAL, INC
697 MADISON AVENUE
SUITE B
MADISON, WV25130-2513
 Phone: 304-369-1230
 Fax: 304-369-1525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BOONE MEMORIAL HOSPITAL, INC

NPI Number 1679073779
LBN Legal business name BOONE MEMORIAL HOSPITAL, INC
Authorized official DAVID GRESHAM - (CHIEF DEVELOPMENT OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/15/2018
Last updated 02/15/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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