# BOONE MEMORIAL HOSPITAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BMH Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578513032
- **Authorized official:** VIRGIL UNDERWOOD (CEO)
- **Authorized official phone:** (304) 369-1230

## Contact information

- **Practice address:** 697 MADISON AVENUE, MADISON, WV 25130
- **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 |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 119 | WV | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 01/10/2023