Organization
PRINCETON MEMORIAL HOSPITAL COMPANY
Active
Other names
Springfield Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK A SMITH NHA CEO (PRESIDENT)
(304) 425-3203
Entity
Organization
Contact information
Practice address
JAMES MONROE DR AND US RT 219, LINDSIDE, WV 24951
(304) 753-4332
(304) 753-4334
Mailing address
RR 1 BOX 101A, LINDSIDE, WV 24951-9612
(304) 753-4332
(304) 753-4334
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
126
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010087000
—
WV
Enumeration date
08/10/2005
Last updated
08/22/2020
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