Organization
HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
HJ THOMAS MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEONNA DANIELLE DIAMOND (DIRECTOR OF PATIENT ACCOUNTS)
(304) 766-3536
Entity
Organization
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3536
(304) 766-4315
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3536
(304) 766-4315
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
39
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000300432
BCBS SNF
WV
Enumeration date
10/06/2006
Last updated
09/21/2007
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