Healthcare Provider Details

I. General information

NPI: 1588632624
Provider Name (Legal Business Name): RICHWOOD AREA COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 AVENUE B
RICHWOOD WV
26261-1236
US

IV. Provider business mailing address

75 AVENUE B
RICHWOOD WV
26261-1236
US

V. Phone/Fax

Practice location:
  • Phone: 304-846-2573
  • Fax: 304-846-9562
Mailing address:
  • Phone: 304-846-2573
  • Fax: 304-846-9562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number128
License Number StateWV

VIII. Authorized Official

Name: MRS. BARBARA ELAINE BUTLER
Title or Position: ADMINISTRATOR
Credential: CEO
Phone: 304-846-2573