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NPI 1942279716

NPI 1942279716 : RICHWOOD AREA COMMUNITY HOSPITAL : RICHWOOD, WV

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General NPI Number Information
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    NPI Number           |    1942279716
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICHWOOD AREA COMMUNITY HOSPITAL 
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Dates
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    Enumeration Date     |    03/15/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    75 AVENUE B 
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    City                 |    RICHWOOD
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    State                |    WV
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    Zip                  |    26261-1236
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    Country              |    US
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    Telephone            |    304-846-2573
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    Fax                  |    304-846-9562
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Provider Business Mailing Address
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    Address Line         |    75 AVENUE B 
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    City                 |    RICHWOOD
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    State                |    WV
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    Zip                  |    26261-1236
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    Country              |    US
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    Telephone            |    304-846-2573
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    Fax                  |    304-846-9562
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. BARBARA ELAINE BUTLER 
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    Credential           |    CEO
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    Telephone            |    304-846-2573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    126
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    License Number State |    WV
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