Organization
HERBERT J THOMAS MEMORIAL HOSPITAL
Active
Other names
Southway
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEONNA DANIELLE DIAMOND (DIRECTOR OF PATIENT ACCOUNTS)
(304) 766-3536
Entity
Organization
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3536
(304) 414-2717
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3536
(304) 414-2717
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001391002
—
WV
Enumeration date
11/08/2016
Last updated
08/20/2024
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