Healthcare Provider Details

I. General information

NPI: 1740309160
Provider Name (Legal Business Name): RICHWOOD AREA COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
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 Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number128
License Number StateWV

VIII. Authorized Official

Name: GLORIA DELOE
Title or Position: OFFICE MANAGER
Credential:
Phone: 304-846-2573