Healthcare Provider Details

I. General information

NPI: 1982008116
Provider Name (Legal Business Name): MILDRED MITCHELL BATEMAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 NORWAY AVE
HUNTINGTON WV
25705-1336
US

IV. Provider business mailing address

1530 NORWAY AVE
HUNTINGTON WV
25705-1336
US

V. Phone/Fax

Practice location:
  • Phone: 304-525-7801
  • Fax: 304-525-7249
Mailing address:
  • Phone: 304-525-7801
  • Fax: 304-525-7249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. LUCILLE P GEDIES
Title or Position: CFO
Credential:
Phone: 304-525-7801