# ST. JOSEPH'S HOSPITAL OF BUCKHANNON INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376884213
- **Authorized official:** MR. SKIP GJOLBERG (ADMINISTRATOR)
- **Authorized official phone:** (304) 473-2000

## Contact information

- **Practice address:** 1 AMALIA DR, BUCKHANNON, WV 26201-2239
- **Practice address phone:** (304) 473-2051
- **Practice address fax:** (304) 473-2059
- **Mailing address:** 1 AMALIA DR, BUCKHANNON, WV 26201-2239
- **Mailing address phone:** (304) 473-2051
- **Mailing address fax:** (304) 473-2059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | IP0550608 | WV | Yes |
| 3336L0003X | Long Term Care Pharmacy | IP0550608 | WV | — |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 10/20/2023