Healthcare Provider Details

I. General information

NPI: 1306066592
Provider Name (Legal Business Name): HEALTH MANAGEMENT ASSOCIATES OF WV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 ALDERSON ST
WILLIAMSON WV
25661-3215
US

IV. Provider business mailing address

PO BOX 1958
WILLIAMSON WV
25661-1958
US

V. Phone/Fax

Practice location:
  • Phone: 304-235-0466
  • Fax: 304-235-0536
Mailing address:
  • Phone: 304-235-0466
  • Fax: 304-235-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS MELINDA I EDWARDS
Title or Position: ASST PRACTICE MANAGER
Credential:
Phone: 304-235-0466