Organization
HIGHLAND HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. DISSEN (CEO/PRESIDENT)
(304) 348-1401
Entity
Organization
Contact information
Practice address
300 56TH ST SE, CHARLESTON, WV 25304-2308
(304) 926-1600
(304) 926-1649
Mailing address
300 56TH ST SE, CHARLESTON, WV 25304-2308
(304) 926-1600
(304) 926-1649
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
151
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001254001
—
WV
Enumeration date
05/13/2006
Last updated
04/12/2013
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