Organization
POCAHONTAS MEMORIAL HOSPITAL
Active
Organization
POCAHONTAS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RUTH STARCHER (PROVIDER ENROLLMENT)
(304) 799-7400
Entity
Organization
Contact information
Practice address
150 DUNCAN RD, BUCKEYE, WV 24924
(304) 799-7400
(304) 799-6636
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924
(304) 799-7400
(304) 799-6636
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
16
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000310321
BLUE CROSS
WV
05
—
3810000534
—
WV
Enumeration date
06/09/2006
Last updated
02/20/2020
Update your record
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