Organization
HOSPITAL DEVELOPMENT CO
Active
Parent organization
ROANE GENERAL HOSPITAL
Other names
SOUTHERN ROANE MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROANE GENERAL HOSPITAL
Authorized official
DOUG BENTZ (CEO)
(304) 927-6200
Entity
Organization
Contact information
Practice address
1 LIBRARY LN, LEFT HAND, WV 25251-9745
(304) 927-6819
(304) 927-6837
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6819
(304) 927-6837
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
74
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004237
—
WV
Enumeration date
03/24/2006
Last updated
11/08/2010
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