Healthcare Provider Details

I. General information

NPI: 1720917834
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

506 CHESTNUT ST
SOUTH CHARLESTON WV
25309-1204
US

IV. Provider business mailing address

PO BOX 744145
ATLANTA GA
30374-4145
US

V. Phone/Fax

Practice location:
  • Phone: 304-766-8558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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