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NPI Code Detail

MEDICARE: CHARLESTON AREA MEDICAL CTR - TEAYS VALLEY

MEDICARE: CHARLESTON AREA MEDICAL CTR - TEAYS VALLEY
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
1282N00000XGeneral Acute Care 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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000301501OTHERWVBLUE CROSS
4612626400OTHERBLACK LUNG
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144277708
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLESTON AREA MEDICAL CTR - TEAYS VALLEY
Provider Business Mailing Address
First Line : 1400 HOSPITAL DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9202
Country : US
Telephone Number : 304-388-3323
Fax Number : 304-388-7294
Provider Business Practice Location Address
First Line : 1400 HOSPITAL DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9202
Country : US
Telephone Number : 304-757-1700
Fax Number : 304-757-1732
Authorized Official
Title or Position : CFO
Name : LARRY HUDSON
Credential :
Telephone Number : 304-388-7629
Provider Enumeration Date : 05/28/2006
Last Update Date : 09/27/2013

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Directions to “CHARLESTON AREA MEDICAL CTR - TEAYS VALLEY ” Practice Location

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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.

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