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HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION NPI 1790028744


NPI Information

NPI: 1790028744
Provider Name: HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION

Doing Business As: SOUTHWAY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4825 MACCORKLE AVE SW
SUITE D
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 766-4560
Get Directions

HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION is a mental health (including community mental health center) clinic center in South Charleston, WV. HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION NPI is 1790028744. The provider is registered as an organization entity type.
The provider Is Doing Business As Southway.

The provider's business location address is:

4825 MACCORKLE AVE SW
SUITE D
SOUTH CHARLESTON, WV
ZIP 25309-365
Phone: (304) 766-4560
Fax: (304) 766-4599

The provider's authorized official is Patrick L Fields .
The authorized official title is Administrative Director Of Bhs and has the following contact phone number (304) 766-3441.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 3/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)109WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150090MEDICAIDWEST VIRGINIA
20001391000MEDICAIDWEST VIRGINIA
3510029MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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