# WV DEPT. OF HEALTH & HEALTH FACILITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hopemont Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912993171
- **Authorized official:** MR. RALPH E. RAYBECK NHA, LCSW (CEO/ADMINISTRATOR)
- **Authorized official phone:** (304) 789-2411

## Contact information

- **Practice address:** RR 3 BOX 330, TERRA ALTA, WV 26764-9710
- **Practice address phone:** (304) 789-2411
- **Practice address fax:** (304) 789-2233
- **Mailing address:** RR 3 BOX 330, TERRA ALTA, WV 26764-9710
- **Mailing address phone:** (304) 789-2411
- **Mailing address fax:** (304) 789-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 51E148 | WV | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 08/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 51E148 | — | WV |