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Organization
MEMORIAL HOSPITAL, INC.
Active
Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Preferred Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOGGESS (CFO)
(606) 598-5104
Entity
Organization
Contact information
Practice address
705 C STREET, CEREDO, WV 25507
(304) 453-3590
(304) 453-3594
Mailing address
PO BOX 415, CEREDO, WV 25507-0415
(304) 453-3590
(304) 453-3594
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150039
KY
Other
Enumeration date
07/17/2006
Last updated
01/13/2021
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