# BOONE MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BMH Nellis Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417839911
- **Authorized official:** DOUGLAS COLE MALCOLM (CFO/ADMIN)
- **Authorized official phone:** (304) 369-1230

## Contact information

- **Practice address:** 62 FORK CREEK RD, NELLIS, WV 25142-9737
- **Practice address phone:** (304) 369-1230
- **Practice address fax:** (304) 369-6036
- **Mailing address:** 701 MADISON AVE, MADISON, WV 25130-1669
- **Mailing address phone:** (304) 369-1230
- **Mailing address fax:** (304) 369-6036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025