Organization
WEST VIRGINIA HOME HEALTH SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE ANN COCHRAN (ACCOUNTS RECEIVABLE MANAGER)
(304) 348-1203
Entity
Organization
Contact information
Practice address
1418 MACCORKLE AVE SW, CHARLESTON, WV 25303-1331
(304) 348-1203
(304) 348-1410
Mailing address
1418 MACCORKLE AVE SW, CHARLESTON, WV 25303-1331
(304) 348-1203
(304) 348-1410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
517115
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001254004
—
WV
01
—
1020193
WORKERS COMPENSATION
—
01
—
214381
CARELINK
—
01
—
3037138
CAREMARK THERAPEUTIC
—
01
—
43466
CARELINK MEDICAID
—
01
—
483262
MAMSI LIFE & HEALTH
—
01
—
550392395006
TRICARE
—
01
—
62308
CIGNA
—
01
—
7629053
AETNA
—
Enumeration date
09/06/2005
Last updated
08/22/2020
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