Organization
BOONE MEMORIAL HOSPITAL, INC
Active
Other names
BMH Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL UNDERWOOD (CEO)
(304) 369-1230
Entity
Organization
Contact information
Practice address
697 MADISON AVENUE, MADISON, WV 25130
(304) 369-1230
(304) 369-6036
Mailing address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-6036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
119
WV
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001313004
—
WV
Enumeration date
05/12/2006
Last updated
01/10/2023
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