Healthcare Provider Details

I. General information

NPI: 1609705706
Provider Name (Legal Business Name): HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 FLEDDERJOHN RD
CHARLESTON WV
25314-4202
US

IV. Provider business mailing address

PO BOX 744145
ATLANTA GA
30374-4145
US

V. Phone/Fax

Practice location:
  • Phone: 304-345-4674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL STEPHANIE JONES
Title or Position: VP FINANCE, CFO
Credential:
Phone: 304-766-3428