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Organization

BOONE MEMORIAL HOSPITAL, INC

Active
Other names
BMH Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGIL UNDERWOOD (CEO)
(304) 369-1230
Entity
Organization

Contact information

Practice address
660A S MAIN ST, MADISON, WV 25130-1245
(304) 369-4250
(304) 369-8008
Mailing address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-6036

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
119
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810015736
WV
Enumeration date
04/10/2009
Last updated
07/28/2022
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