HERBERT J THOMAS MEMORIAL HOSPITAL (NPI# 1801338850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801338850 |
| Entity Type | Organization |
| Organization Name | HERBERT J THOMAS MEMORIAL HOSPITAL |
| Other Organization Name | SOUTHWAY |
| Practice Address |
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 |
| Practice Telephone | 3047663536 |
| Practice Fax Number | 3044142717 |
| Mailing Telephone | 3047663536 |
| Mailing Fax Number | 3044142717 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | MS. DEONNA DANIELLE DIAMOND (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 3047663536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001391002 | 05 |
| Other Name | Type Code |
|---|---|
| Southway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245327873 | Herbert J Thomas Memorial Hospital | Home Health | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-10-06 |
| Street Address |
4605 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425542 | David Abramowitz | Radiology | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2005-05-31 |
| 1609494269 | Tabitha Michelle Spence | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-07-10 |
| 1538781703 | Premier Surgical Assist, Inc. | Surgery | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-05-11 |
| 1629690037 | Stephanie Shamma | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1398 | 2020-05-08 |
| 1174187603 | Herbert J Thomas Memorial Hospital Association | Substance Abuse Rehabilitation Facility | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2019-04-30 |
| 1659856383 | Maccorkle Emergency Physicians Pllc | Physician Assistant | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-09-28 |
| 1386122844 | Hospitalist Medicine Physicians of West Virginia- Tcg, Pllc | Internal Medicine | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-08-06 |
| 1245717222 | Kelsey Leigh Higgins | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-23 |
| 1982180709 | Samantha Craigo | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-15 |
| 1316430564 | Nicholas E. Clark | Nurse Anesthetist, Certified Registered | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790028744 | Herbert J. Thomas Memorial Hospital Association | Clinic/Center | 4825 Maccorkle Ave Sw, Suite D, South Charleston, WV 25309-1365 | 2013-03-28 |
| 1457485898 | Damous Psychological Services Pllc | Clinic/Center | 218 D St, South Charleston, WV 25303-3104 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416397 | Ohio Valley Counseling, LLC | Clinic/Center | 243 Three Springs Dr, Weirton, WV 26062-3839 | 2020-10-27 |
| 1689288813 | Lilys Place Family Center | Clinic/Center | 1235 6th Ave, Huntington, WV 25701-2904 | 2020-09-04 |
| 1407471162 | Nautilus Counseling, LLC | Clinic/Center | 160 Fayette St Apt 206, Morgantown, WV 26505-5999 | 2020-06-09 |
| 1679060420 | Partnership of African American Churches Inc. | Clinic/Center | 1514 Kanawha Blvd W, Charleston, WV 25387-2533 | 2018-04-17 |
| 1548763022 | The Village Network Inc | Clinic/Center | 53 14th St Ste 700, Wheeling, WV 26003-3423 | 2018-03-12 |
| 1073027371 | Melanie B Rogers LLC | Clinic/Center | 748 Fairmont Rd, Morgantown, WV 26501-4060 | 2017-11-22 |
| 1386851509 | Kanawha Valley Center Inc | Clinic/Center | 200 Bradford Street, Charleston, WV 25301-5301 | 2007-05-17 |
| 1659413177 | Autism Services Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-12 |
| 1346318672 | Green Acres Regional Center Inc | Clinic/Center | 7830 Ohio River Road, Lesage, WV 25537 | 2006-12-04 |
| 1922019074 | Highland Behavioral Health Services Inc | Clinic/Center | 376 Kenmore Drive, Danville, WV 25053 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on HERBERT J THOMAS MEMORIAL HOSPITAL.
| 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.