NPI Code Details Logo

NPI 1548993603

NPI 1548993603 : MINNIE HAMILTON HEALTH CARE CENTER INC : ARNOLDSBURG, WV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548993603
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MINNIE HAMILTON HEALTH CARE CENTER INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/06/2022
-----------------------------------------------------
    Last Update Date     |    07/08/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    80 SPRING RUN ROAD 
-----------------------------------------------------
    City                 |    ARNOLDSBURG
-----------------------------------------------------
    State                |    WV
-----------------------------------------------------
    Zip                  |    25234
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    304-354-5995
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    186 HOSPITAL DR 
-----------------------------------------------------
    City                 |    GRANTSVILLE
-----------------------------------------------------
    State                |    WV
-----------------------------------------------------
    Zip                  |    26147-7100
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    304-354-5978
-----------------------------------------------------
    Fax                  |    304-354-5963
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     STEPHEN SCOTT WHITED 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    304-354-9735
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.