Organization
BOYD'S FAMILY HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A. BOYD (PRESIDENT/OWNER)
(304) 768-3700
Entity
Organization
Contact information
Practice address
4837 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1331
(304) 768-3700
(304) 744-6640
Mailing address
PO BOX 8660, SOUTH CHARLESTON, WV 25303-0660
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065811
WORKERS COMPENSATION
WV
05
—
3810001322
—
WV
Enumeration date
07/30/2006
Last updated
08/22/2020
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