Organization
ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.
Active
Parent organization
ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.
Authorized official
MR. IVAR H GJOLBERG FACHE (ADMINISTRATOR)
(304) 473-2118
Entity
Organization
Contact information
Practice address
129 E MAIN ST, BRIDGEPORT, WV 26330-1706
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015677
—
WV
Enumeration date
09/18/2014
Last updated
03/07/2018
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