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STONEWALL JACKSON MEMORIAL HOSPITAL

Home Health Agencies

Weston, West Virginia

Provider NPI: 1083617989

Organization Information:
Organization Name:  STONEWALL JACKSON MEMORIAL HOSPITAL


Practice Location:
456 SUITE B MARKET PLACE MALL  WESTON, WV 26452 US
Tel: 304-269-4556  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health
WV=========

Other Provider Identifiers:

IssuerNumberStateType
HEALTH PLANWV22958AWV01
0001417001WV05
FEDERAL BLACK LUNG300699WV01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOME HEALTH JOBS WV - Page 1



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