Organization
HYGEIA FACILITIES FOUNDATION INC
Active
Other names
RALEIGH BOONE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET L MARTIN (ADMINISTRAR)
(304) 854-1323
Entity
Organization
Contact information
Practice address
37456 COAL RIVER RD, WHITESVILLE, WV 25209-9077
(304) 845-1323
(304) 854-1031
Mailing address
37456 COAL RIVER RD, WHITESVILLE, WV 25209-9077
(304) 845-1323
(304) 854-1031
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011696001
—
WV
Enumeration date
12/11/2006
Last updated
06/19/2013
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