Southway

LBN: Herbert J Thomas Memorial Hospital
Southway is an health care organization with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Herbert J Thomas Memorial Hospital can be contacted via phone (304) 766-3536, or through Diamond, Deonna Danielle via phone (304) 766-3536.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1311
Phone: (304) 766-3536
Fax: (304) 414-2717
Website:
Map and Directions
Authorized official contact:
Name: Diamond, Deonna Danielle
Phone: (304) 766-3536

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1801338850
LBN Legal business name Herbert J Thomas Memorial Hospital
DBA Doing business as Southway
Authorized official Diamond, Deonna Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801338850 NPPES
West Virginia MEDICAID 0001391002

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