| Thomas Memorial Hospital | |
|
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 | |
| (304) 766-3774 | |
| (304) 414-2718 |
| Full Name | Thomas Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | Debbie L Russell (PT ACCT MANAGER) |
| Authorized Official Contact | 3047663774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Memorial Hospital 4605 Maccorkle Ave Sw South Charleston WV 25309-1311 Ph: (304) 766-3774 | Thomas Memorial Hospital 4605 Maccorkle Ave Sw South Charleston WV 25309-1311 Ph: (304) 766-3774 |
| NPI Number | 1841694908 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841694908 | NPI | - | NPPES |
| 0001391002 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 39 (West Virginia) | Primary |
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