BOONE MEMORIAL HOSPITAL INC


Address: 701 Madison Ave, Madison, WV 25130-1669
Phone: 3043691230

BOONE MEMORIAL HOSPITAL INC (NPI# 1285686725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285686725
Entity Type Organization
Organization Name BOONE MEMORIAL HOSPITAL INC
Other Organization Name BOONE MEMORIAL HOSPITAL
Practice Address 701 Madison Ave
Madison
WV 25130-1669
Practice Telephone 3043691230
Practice Fax Number 3043696036
Mailing Telephone 3043691230
Mailing Fax Number 3043696036
Enumeration Date 2006-05-16
Last Update Date 2012-09-21
Authorized Official Name MR. RANDELL DAVIS FOXX SR. (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3043691230
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
119 WV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 0007462000 05

Other Provider/Organization Names

Other Name Type Code
Boone Memorial Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578513032 Boone Memorial Hospital Inc Clinic/Center 697 Madison Avenue, Madison, WV 25130 2006-05-12
1871543322 Boone Memorial Hospital Inc Medicare Defined Swing Bed Unit 701 Madison Ave, Madison, WV 25130-1669 2006-05-12
1639135221 Boone Memorial Hospital Inc Pharmacy 701 Madison Ave, Madison, WV 25130-1669 2006-04-24

Office Location

Street Address 701 MADISON AVE
City MADISON
State WV
Zip Code 25130-1669

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265412472 James Kenton Walker Family Medicine 701 Madison Ave, Madison, WV 25130-1669 2006-01-23
1316593270 Jessica Toath-callahan Nurse Practitioner 701 Madison Ave, Madison, WV 25130-1699 2019-08-15
1467013243 Kerri Anne Spry-lambert Nurse Practitioner 701 Madison Ave, Madison, WV 25130-1669 2019-06-24
1710456561 Casey Shannon Hatfield Physician Assistant 701 Madison Ave, Madison, WV 25130-1699 2018-11-21
1265927750 Melissa Ann Price Nurse Practitioner 701 Madison Ave, Madison, WV 25130-1699 2018-06-27
1154844249 Heather Kay Legg Physician Assistant 701 Madison Ave, Madison, WV 25130-1669 2017-07-20
1346763786 Jackson B Austin Physician Assistant 701 Madison Ave, Madison, WV 25130-1669 2017-07-18
1184091399 Robert Lee Foster Jr. Pharmacist 701 Madison Ave, Madison, WV 25130-1669 2015-08-24
1770979874 Michael Vaughn Baxter Bledsoe Family Medicine 701 Madison Ave, Madison, WV 25130 2015-04-15
1942694971 Shane Cook Dermatology 701 Madison Ave, Madison, WV 25130-1669 2015-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960957 Sadie Vance Technician 1 Ave C, Madison, WV 25130 2020-07-30
1255940516 Katie Adkins Technician 109 Ave C, Madison, WV 25130 2020-07-23
1386981488 Integrated Health Care Providers, Inc. Urology 707 Madison Avenue, Madison, WV 25130 2013-01-09
1386710028 Lisa Gaye Dolan Registered Nurse 69 Avenue B, Boone County of Educations, Madison, WV 25130 2006-11-27
1679671549 Atkins Dds Inc Dentist 221 State Street, Suite 102, Madison, WV 25130 2006-09-21
1063446854 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 3265 Smoot Avenue, Madison, WV 25130 2006-07-10
1558318832 Sriramloo Kesari General Practice 173 State St, Madison, WV 25130 2006-05-30
1689628489 Kathy Jo Hill Nurse Practitioner 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 2006-05-19
1578513032 Boone Memorial Hospital Inc Clinic/Center 697 Madison Avenue, Madison, WV 25130 2006-05-12
1770597171 Ronald D Chattin Family Medicine 515 Main St, Madison, WV 25130 2006-07-28
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City MADISON
Zip Code 25130

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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