Organization Active NPI

Herbert J Thomas Memorial Hospital

  • Home Health Agency
  • South Charleston, WV
National Provider Identifier
1245327873
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
39 Issued in WV
Legal business name
HERBERT J THOMAS MEMORIAL HOSPITAL
Practice address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone
(304) 766-3536
Fax
(304) 766-4315
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deonna Danielle Diamond
Title
Director of Patient Accoutns
Phone
(304) 766-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 39 WV Primary

Addresses

Primary practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3536

Other identifiers 1

IdentifierTypeStateIssuer
0001391003MedicaidWV

Other names 1

  • HJ THOMAS MEMORIAL HOSPITAL Other name

National Provider Directory

National Provider Directory
Part of
Rodney Dean MD PLLC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1245327873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3536",
            "fax_number": "304-766-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3536",
            "fax_number": "304-766-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J THOMAS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "DEONNA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUTNS",
        "authorized_official_telephone_number": "304-766-3536"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001391003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HJ THOMAS MEMORIAL HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.