# MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598782096
- **Authorized official:** RICHARD BOGGESS (CFO)
- **Authorized official phone:** (606) 598-5104

## Contact information

- **Practice address:** 705 C STREET, CEREDO, WV 25507
- **Practice address phone:** (304) 453-3590
- **Practice address fax:** (304) 453-3594
- **Mailing address:** PO BOX 415, CEREDO, WV 25507-0415
- **Mailing address phone:** (304) 453-3590
- **Mailing address fax:** (304) 453-3594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 150039 | KY | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 01/13/2021
