| NPI | 1871534958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RUTH STARCHER Provider Enrollment 304-799-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: WV 16) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-02-20 |