Herbert J. Thomas Memorial Hospital Association
Clinic/Center, Mental Health (Including Community Mental Health Center) in South Charleston, WV. Organization (NPI-2).
NPI number1790028744
StatusActive
Last updated in NPPESMar 28, 2013
Details
- NPI
- 1790028744
- Entity type
- Organization (NPI-2)
- Legal business name
- Herbert J. Thomas Memorial Hospital Association
- Organization subpart
- Yes
- Enumeration date
- Mar 28, 2013
- Last updated
- Mar 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 109 | WV | Yes |
Other names
- Southway (Doing Business As)
Practice location
4825 Maccorkle Ave SwSuite D
South Charleston, WV 25309-1365
Phone 304-766-4560 · Fax 304-766-4599
Mailing address
4825 Maccorkle Ave SwSuite D
South Charleston, WV 25309-1365
Phone 304-766-4560 · Fax 304-766-4599
Authorized official
Patrick L Fields
Administrative Director Of Bhs
3047663441
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