Organization
ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.
Active
Other names
St. Joseph's Hospital Nursing Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAR H. GJOLBERG JR. (ADMINISTRATOR)
(304) 473-2118
Entity
Organization
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
(304) 473-2180
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
(304) 473-2180
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
87
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001139003
—
WV
Enumeration date
09/13/2006
Last updated
12/06/2017
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