Memorial Hospital, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

150039 Issued in KY

Legal business name

MEMORIAL HOSPITAL, INC.

Practice address

155 E 2ND Ave
Williamson, WV 25661-3601

Phone

(304) 235-3010

Fax

(304) 235-3014

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Richard Boggess

Title

Cfo

Phone

(606) 598-5104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mingo Wayne Home Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Hospital, Inc.

  • Family Medicine Physician
  • Manchester, KY
  • NPI 1598166092

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1891720348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256610445",
            "telephone_number": "304-235-3010",
            "fax_number": "304-235-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613601",
            "telephone_number": "304-235-3010",
            "fax_number": "304-235-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BOGGESS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-598-5104"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004862000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mingo Wayne Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mingo Wayne Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Austin McMullen
• Nicole McNamee, PHARM D
• Rebecca Ashley McPherson, PHARM D
• Brandy Tenelle Meadows, LPN
• Melissa Karyl Meadows
• Brianna Lois Merritt
• Britney Messer
• Shayla Messer
• Sondra Messer
• Misty Dawn Miller

• Home Health Agency in Williamson, WV
• Providers in Williamson, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.