Organization
ST JOSEPHS HOSPITAL OF BUCKHANNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKIP GJOLBERG FACHE (PRESIDENT/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
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001139007
—
WV
Enumeration date
03/19/2007
Last updated
10/20/2023
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