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NPI Code Detail

MEDICARE: ST JOSEPHS HOSPITAL OF BUCKHANNON INC

MEDICARE: ST JOSEPHS HOSPITAL OF BUCKHANNON INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NR1301XRural Acute Care Hospital87WV
2332B00000XDurable Medical Equipment & Medical Supplies87WV
3332B00000XDurable Medical Equipment & Medical Supplies
4282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2510053OTHERFORMER CCN

General Provider Information

NPI Number : 1124005061
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOSEPHS HOSPITAL OF BUCKHANNON INC
Provider Business Mailing Address
First Line : 1 AMALIA DR
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-2239
Country : US
Telephone Number : 304-473-2000
Fax Number : 304-473-2180
Provider Business Practice Location Address
First Line : 1 AMALIA DR
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-2239
Country : US
Telephone Number : 304-473-2000
Fax Number : 304-473-2180
Authorized Official
Title or Position : CEO
Name : SUE E JOHNSON-PHILLIPPE
Credential : FACHE
Telephone Number : 304-473-2118
Provider Enumeration Date : 12/30/2005
Last Update Date : 10/20/2023

Similar Medicare Providers

1003172644 — RAELINA S HOWELL M.D.
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-473-2000
Practice Fax: 304-473-2057
1083619050 — JAMES J KIM M.D.
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-473-6810
Practice Fax: 304-473-6812
1295729028 — MS. KATHRYN L ROBINSON CNM
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-473-2000
Practice Fax:
1437136322 — DR. JAMIE MARCUS MILLER DO
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-473-2063
Practice Fax:
1689625501 — DR. JOSEPH BLOUNT REED MD
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-473-2000
Practice Fax:
1780614040 — SUE B OWEN CNM
Practice Location Address:
1 AMALIA DR
BUCKHANNON, WV
26201-2239
Practice Phone: 304-472-7473
Practice Fax: 304-472-0533

Directions to “ST JOSEPHS HOSPITAL OF BUCKHANNON INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.