Jackie Withrow Hospital

LBN: State Of West Virginia
Jackie Withrow Hospital is an health care organization with primary practice located at 105 S Eisenhower Dr , Beckley WV 25801-4929. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. State Of West Virginia can be contacted via phone (304) 256-6600, or through Parent, Carla Jean via phone (304) 256-6600.

Contact Information

Primary practice address
105 S Eisenhower Dr Beckley WV 25801-4929
Phone: (304) 256-6600
Fax: (304) 250-6554
Website:
Map and Directions
Authorized official contact:
Name: Parent, Carla Jean
Phone: (304) 256-6600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 181 West Virginia

Profile Details

NPI number 1619969706
LBN Legal business name State Of West Virginia
DBA Doing business as Jackie Withrow Hospital
Authorized official Parent, Carla Jean
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 5th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619969706 NPPES
West Virginia MEDICAID 0003978000

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