Organization
POCAHONTAS MEMORIAL HOSPITAL
Active
Other names
Pocahontas Memorial Hospital Medical Practice RHC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RUTH STARCHER (PROVIDER ENROLLMENT)
(304) 799-7400
Entity
Organization
Contact information
Practice address
150 DUNCAN RD, BUCKEYE, WV 24924
(304) 799-6200
(304) 799-6636
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924
(304) 799-6200
(304) 799-6636
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023879
—
WV
Enumeration date
09/27/2011
Last updated
02/20/2020
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