Organization
COMMUNITY HEALTH ASSOCIATION
Active
Other names
Jackson General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L MCCOY (PRESIDENT CEO)
(304) 373-1475
Entity
Organization
Contact information
Practice address
122 PINNELL STREET, RIPLEY, WV 25271-0720
(304) 373-1477
(304) 372-2749
Mailing address
PO BOX 720, 122 PINNELL STREET, RIPLEY, WV 25271-0720
(304) 373-1477
(304) 372-2749
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
52
WV
282NC0060X
Critical Access Hospital
Primary
52
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023822
—
WV
05
—
3910000963
—
WV
01
—
51-Z320
SWING BED
WV
01
—
5100181
MEDICARE- ID
WV
01
—
512320
SWING BED
WV
01
—
51U018
SWING BED
WV
Enumeration date
07/07/2005
Last updated
10/12/2023
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