Organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
HJ THOMAS MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
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
273R00000X
Psychiatric Hospital Unit
Primary
39
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001391001
—
WV
05
—
0001391002
—
WV
Enumeration date
10/06/2006
Last updated
01/06/2025
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