NPIMap

Organization Active NPI

Boone Memorial Hospital

  • Home Health Agency
  • Madison, WV
National Provider Identifier
1336199157
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
119 Issued in WV
Legal business name
BOONE MEMORIAL HOSPITAL
Practice address
701 Madison Ave
Madison, WV 25130-1669
Phone
(304) 369-1230
Fax
(304) 369-6036
NPI assigned
May 11, 2006
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Mr. Randell Davis Foxx Sr., CFO
Title
Exe. Dir., Fin. Ser.
Phone
(304) 369-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 119 WV Primary

Addresses

Primary practice location

701 Madison Ave
Madison, WV 25130-1669

Mailing address

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Other identifiers 1

IdentifierTypeStateIssuer
0001313001MedicaidWV

Other names 1

  • Boone Memorial Hospital Home Care Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Boone Memorial Hospital Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1336199157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-1230",
            "fax_number": "304-369-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-1230",
            "fax_number": "304-369-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "FOXX",
        "authorized_official_first_name": "RANDELL",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "EXE. DIR., FIN. SER.",
        "authorized_official_telephone_number": "304-369-1230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001313001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone Memorial Hospital Home Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.