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Stonewall Jackson Memorial Hospital
Home Health Agency in Weston, West Virginia
NPI 1083617989

Stonewall Jackson Memorial Hospital is a Home Health Agency based in Weston, WV. Stonewall Jackson Memorial Hospital practices in Weston, WV. The NPI Number for Stonewall Jackson Memorial Hospital is 1083617989 and holds a License No. (West Virginia).

The current practice location address for Stonewall Jackson Memorial Hospital is 456 Suite B Market Place Mall, Weston, WV and can be reached out via phone at 304-269-4556 and via fax at 304-269-4559.

Location: 456 Suite B Market Place Mall, Weston, WV, 26452-6938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083617989
Provider Name
Stonewall Jackson Memorial Hospital
Credential
Provider Entity Type
Organization
Address
456 Suite B Market Place Mall, Weston, WV, 26452-6938
Phone Number
304-269-4556
Fax Number
304-269-4559
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300699 01 WV FEDERAL BLACK LUNG
WV22958A 01 WV HEALTH PLAN
0001417001 05 WV
institution
Provider Business Practice Location Address Details
Address
456 Suite B Market Place Mall
City
Weston
State
West Virginia
Zip
26452-6938
Phone Number
304-269-4556
Fax Number
304-269-4559
person
Provider Business Mailing Address Details
Address
456 Suite B Market Place Mall
City
Weston
State
West Virginia
Zip
26452-6938
Phone Number
304-269-4556
Fax Number
304-269-4559
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(West Virginia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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