MEDICARE: OAK HILL HOSPITAL CORPORATION

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
1	207L00000X	Anesthesiology Physician		WV
2	2085R0202X	Diagnostic Radiology Physician		WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1783968	OTHER	WV	BCBS

General Provider Information

NPI Number	:	1255547402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK HILL HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	430 MAIN ST W
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-3414
Country	:	US
Telephone Number	:	304-469-8600
Fax Number	:	304-469-8605

Provider Business Practice Location Address
First Line	:	430 MAIN ST W
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-3414
Country	:	US
Telephone Number	:	304-469-8600
Fax Number	:	304-469-8605

Authorized Official
Title or Position	:	DIRECTOR OF PROVIDER ENROLLMENT
Name	:	DEBBIE T BREWER
Credential	:
Telephone Number	:	615-465-7626

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	11/25/2008

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Directions to “OAK HILL HOSPITAL CORPORATION ” Practice Location

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