| Boone Memorial Hospital, Inc | |
|
660a S Main St Madison WV 25130-1245 | |
| (304) 369-4250 | |
| (304) 369-8008 |
| Full Name | Boone Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 660a S Main St, 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 25130-1669 Ph: (304) 369-1230 | Boone Memorial Hospital, Inc 660a S Main St Madison WV 25130-1245 Ph: (304) 369-4250 |
| NPI Number | 1801039565 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 3375433352 |
|---|---|
| Medicare Enrollment ID | O20090421000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801039565 | NPI | - | NPPES |
| 3810015736 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 119 (West Virginia) | Primary |
| Provider Name | Michael Vaughn Baxter Bledsoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770979874 PECOS PAC ID: 7810203163 Enrollment ID: I20180905001337 |
Boone Memorial Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Madison Ave, Madison, WV 25130 Phone: 304-369-1230 Fax: 304-369-6036 | |
Ernesto T.yutiamco,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Main St, Madison, WV 25130 Phone: 304-369-0221 Fax: 304-369-0222 | |
Boone Memorial Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 697 Madison Avenue, Madison, WV 25130 Phone: 304-369-1230 Fax: 304-369-6036 | |
Boone Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 State St, Madison, WV 25130 Phone: 304-307-6618 Fax: 304-307-6619 | |
Madison Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St, Suite 200, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-369-0946 | |
Women Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Riverside Dr W Rm 308309, Madison, WV 25130 Phone: 304-369-4464 | |
Lincoln County Primary Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 471 Main St, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-306-7982 |