| Boone Memorial Hospital, Inc | |
|
467 Main St Ste 3 Madison WV 25130-2200 | |
| (304) 369-1230 | |
| Not Available |
| Full Name | Boone Memorial Hospital, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 467 Main St Ste 3, Madison, West Virginia |
| Authorized Official Name and Position | Virgil Underwood (CEO) |
| Authorized Official Contact | 3043691230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone Memorial Hospital, Inc 701 Madison Ave Madison WV 25130-1699 Ph: (304) 369-1230 | Boone Memorial Hospital, Inc 467 Main St Ste 3 Madison WV 25130-2200 Ph: (304) 369-1230 |
| NPI Number | 1871141366 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 3375433352 |
|---|---|
| Medicare Enrollment ID | O20201102001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871141366 | NPI | - | NPPES |
| Provider Name | Amy Parker Sayre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528025350 PECOS PAC ID: 6103807052 Enrollment ID: I20051107000491 |
| Provider Name | Melanie L Harper-allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710997671 PECOS PAC ID: 3072523935 Enrollment ID: I20060424000131 |
| Provider Name | Blitz E Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326140252 PECOS PAC ID: 6002811411 Enrollment ID: I20060918000452 |
| Provider Name | Richard W Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134407018 PECOS PAC ID: 3870732530 Enrollment ID: I20130610000763 |
| Provider Name | Holly Anna Hill-reinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700176492 PECOS PAC ID: 7517119621 Enrollment ID: I20150819007267 |
| Provider Name | Deborah Townsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881079614 PECOS PAC ID: 3577872993 Enrollment ID: I20151026000048 |
| Provider Name | Angela D Glick |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1144377540 PECOS PAC ID: 7214216472 Enrollment ID: I20161114000281 |
| Provider Name | Crystal Leigh Gillispie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770250516 PECOS PAC ID: 5597161612 Enrollment ID: I20210914003745 |
| Provider Name | James Logan Shadowfax Frame |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770268427 PECOS PAC ID: 3072950989 Enrollment ID: I20240326004427 |
Williamson Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 585 Rucker St, Madison, WV 25130 Phone: 304-761-4310 | |
Boone Memorial Hospital, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St Ste 3, Madison, WV 25130 Phone: 304-369-7876 | |
Cornerstone Family Interventions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Avenue C, Suite 109, Madison, WV 25130 Phone: 304-369-5283 Fax: 304-369-9130 |