Organization
COMMUNITY HEALTH ASSOCIATION
Active
Organization
COMMUNITY HEALTH ASSOCIATION
Active
Parent organization
JACKSON GENERAL HOSPITAL
Other names
JGH Therapy and SportsCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON GENERAL HOSPITAL
Authorized official
MRS. STEPHANIE L MCCOY (CHIEF EXECUTIVE OFFICER)
(304) 373-1475
Entity
Organization
Contact information
Practice address
511 WASHINGTON ST, RAVENSWOOD, WV 26164-1733
(304) 273-5648
Mailing address
511 WASHINGTON ST, RAVENSWOOD, WV 26164-1733
(304) 273-5648
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
52
WV
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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