Boone Memorial Hospital, INC
Psychiatry & Neurology, Psychiatry in Madison, WV. Organization (NPI-2).
NPI number1871141366
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1871141366
- Entity type
- Organization (NPI-2)
- Legal business name
- Boone Memorial Hospital, INC
- Organization subpart
- Yes
- Enumeration date
- Aug 28, 2019
- Certification date
- Oct 4, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Bmh Brighter Futures (Doing Business As)
Practice location
467 Main St Ste 3Madison, WV 25130-2200
Phone 304-369-1230
Mailing address
701 Madison AveMadison, WV 25130-1699
Phone 304-369-1230
Other practice locations
629 Hewett Creek Rd
Jeffrey, WV 25114-9658
Jeffrey, WV 25114-9658
Phone 304-369-7876
178 Bennett Dr
Wharton, WV 25208
Wharton, WV 25208
Phone 304-369-7876
1103 Raleigh St
Whitesville, WV 25209
Whitesville, WV 25209
Phone 304-369-7876
Authorized official
Virgil Underwood
Ceo
3043691230
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