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HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION NPI 1174187603


NPI Information

NPI: 1174187603
Provider Name: HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 51D0661686

Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 414-6190
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HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION is a substance abuse treatment and children substance abuse rehabilitation facility in South Charleston, WV. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION NPI is 1174187603. The provider is registered as an organization entity type.

The provider's business location address is:

4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309-311
Phone: (304) 414-6190

The provider's authorized official is Brian Lewis Lilly .
The authorized official title is Vp Quality, Safety And Service Line and has the following contact phone number (304) 766-4529.

The CLIA number assigned to this NPI record is 51D0661686 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 6/11/2019.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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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