Healthcare Provider Details

I. General information

NPI: 1083755656
Provider Name (Legal Business Name): WAR MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 WAR MEMORIAL DRIVE
BERKELEY SPRINGS WV
25411-1737
US

IV. Provider business mailing address

109 WAR MEMORIAL DRIVE
BERKELEY SPRINGS WV
25411-1743
US

V. Phone/Fax

Practice location:
  • Phone: 304-258-0506
  • Fax: 304-258-0508
Mailing address:
  • Phone: 304-258-1234
  • Fax: 304-258-6127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NEIL R. MCLAUGHLIN
Title or Position: PRESIDENT
Credential:
Phone: 304-258-1234