Jackie Withrow Hospital
LBN: State Of West Virginia
Jackie Withrow Hospital is an health care organization with primary practice located at 105 S Eisenhower Dr , Beckley WV 25801-4929. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty.
State Of West Virginia can be contacted via phone (304) 256-6600, or through Parent, Carla Jean via phone (304) 256-6600.
Contact Information
Primary practice address
105 S Eisenhower Dr
Beckley WV 25801-4929
Phone: (304) 256-6600
Fax: (304) 250-6554
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 181 | West Virginia |
Profile Details
NPI number | 1619969706 |
---|---|
LBN Legal business name | State Of West Virginia |
DBA Doing business as | Jackie Withrow Hospital |
Authorized official | Parent, Carla Jean |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 16th, 2005 |
Last updated | Feb 5th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619969706 | NPPES |
West Virginia | MEDICAID | 0003978000 |
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