Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Active
Other names
Physicians Group - Medicaid
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN S. WHITED (CFO/COO)
(304) 354-9244
Entity
Organization
Contact information
Practice address
186 HOSPITAL DRIVE, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Mailing address
186 HOSPITAL DRIVE, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
105
WV
282NC0060X
Critical Access Hospital
Primary
150
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002176-002
—
WV
Enumeration date
08/25/2006
Last updated
04/18/2012
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