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General NPI Number Information
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NPI Number | 1871534958
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Entity Type | Organization
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Legal Business Name | POCAHONTAS MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 150 DUNCAN RD
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City | BUCKEYE
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State | WV
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Zip | 24924
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Country | US
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Telephone | 304-799-7400
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Fax | 304-799-6636
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Provider Business Mailing Address
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Address Line | 150 DUNCAN RD
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City | BUCKEYE
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State | WV
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Zip | 24924
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Country | US
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Telephone | 304-799-7400
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Fax | 304-799-6636
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT
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Name | SHANNON RUTH STARCHER
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Credential |
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Telephone | 304-799-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 16
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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