Organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOC
Active
Other names
THOMAS MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE L RUSSELL (PT ACCT MANAGER)
(304) 766-3774
Entity
Organization
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3774
(304) 414-2718
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3774
(304) 414-2718
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
39
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001391002
—
WV
Enumeration date
10/20/2014
Last updated
10/20/2014
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