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CAH511313-00 BOONE MEMORIAL HOSPITAL (Active)
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Main Details
Name
BOONE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH511313-00
Medicare Provider Number
511313
Additional Details
Current Program Status
Active
Registration Date
11/29/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/2/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Boone Memorial Hospital Inc.
Virgil Lee Underwood, CEO
(304) 369-1230 Ext: 5507
Primary Contact
Boone Memorial Hospital
Angela Christian, Executive Director of Ancillary Services
(304) 369-1230 Ext: 5517
Addresses
Street Address
701 Madison Avenue
MADISON, WV 25130
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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