Organization
BOONE MEMORIAL HOSPITAL, INC
Active
Other names
BOONE MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS COLE MALCOLM (CFO)
(304) 688-1823
Entity
Organization
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(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
282NC0060X
Critical Access Hospital
Primary
119
WV
3336I0012X
Institutional Pharmacy
IP0550770
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102256000
—
WV
01
—
2109661
PK
—
Enumeration date
04/24/2006
Last updated
05/29/2025
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