# STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Welch Community Hospital Golden Harvest LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912082512
- **Authorized official:** MR. MARK F SIMPSON (CEO)
- **Authorized official phone:** (304) 436-8708

## Contact information

- **Practice address:** 454 MCDOWELL ST, WELCH, WV 24801-2029
- **Practice address phone:** (304) 436-8708
- **Practice address fax:** (304) 436-8716
- **Mailing address:** 454 MCDOWELL ST, WELCH, WV 24801-2029
- **Mailing address phone:** (304) 436-8682
- **Mailing address fax:** (304) 436-8716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | EXEMPT | WV | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 04/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001848001 | — | WV |