Organization
COMMUNITY HEALTH ASSOCIATION
Active
Other names
Jackson General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L MCCOY (CHIEF EXECUTIVE OFFICER)
(304) 372-2731
Entity
Organization
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-2731
(304) 372-2749
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-2731
(304) 372-2749
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
52
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001320007
—
WV
05
—
3810023822
—
WV
Enumeration date
08/07/2007
Last updated
10/16/2014
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