Organization
COMMUNITY HEALTH ASSOCIATION
Active
Organization
COMMUNITY HEALTH ASSOCIATION
Active
Other names
Jackson General Hospital Anesthesia Department
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GAIL GREENE (MEDICAL STAFF COORDINATOR)
(304) 373-1507
Entity
Organization
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1286
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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