Organization
ST JOSEPHS HOSPITAL OF BUCKHANNON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E JOHNSON-PHILLIPPE FACHE (CEO)
(304) 473-2118
Entity
Organization
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
87
WV
332B00000X
Durable Medical Equipment & Medical Supplies
87
WV
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001139000
—
WV
01
—
510053
FORMER CCN
—
Enumeration date
12/30/2005
Last updated
10/20/2023
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