Organization
BLUEFIELD REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L WHITTEKER (CEO)
(304) 327-1700
Entity
Organization
Contact information
Practice address
3720 COAL HERITAGE ROAD, BLUEFIELD, WV 24701-3306
(304) 324-2600
(304) 324-2628
Mailing address
PO BOX 1070, BLUEFIELD, WV 24701-1070
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
19
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001209003
—
WV
05
—
56992
—
WV
Enumeration date
09/20/2006
Last updated
08/22/2020
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