| Boone Memorial Hospital, Inc | |
|
62 Fork Creek Rd Nellis WV 25142-9737 | |
| (304) 369-1230 | |
| (304) 369-6036 |
| Full Name | Boone Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 62 Fork Creek Rd, Nellis, West Virginia |
| Authorized Official Name and Position | Douglas Cole Malcolm (CFO/ADMIN) |
| Authorized Official Contact | 3043691230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone Memorial Hospital, Inc 701 Madison Ave Madison WV 25130-1669 Ph: (304) 369-1230 | Boone Memorial Hospital, Inc 62 Fork Creek Rd Nellis WV 25142-9737 Ph: (304) 369-1230 |
| NPI Number | 1417839911 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417839911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Coal River Primary Care And Wellness Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 62 Fork Creek Rd, Nellis, WV 25142 Phone: 304-833-0815 Fax: 304-833-0030 |