Organization
MILDRED MITCHELL BATEMAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE P GEDIES (CFO)
(304) 525-7801
Entity
Organization
Contact information
Practice address
1530 NORWAY AVE, HUNTINGTON, WV 25705-1336
(304) 525-7801
(304) 525-7249
Mailing address
1530 NORWAY AVE, HUNTINGTON, WV 25705-1336
(304) 525-7801
(304) 525-7249
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001881000
—
WV
05
—
0001881001
—
WV
05
—
0001881002
—
WV
01
—
514009
MEDICARE PTAN MEDICARE A
WV
01
—
5140091
MEDICARE PTAN MEDICARE B
WV
Enumeration date
10/17/2014
Last updated
10/17/2014
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