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CAH511313-04 BOONE MEMORIAL HOSPITAL (Active)
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Main Details
Name
BOONE MEMORIAL HOSPITAL
Subdivision Name
BMH Comfort Clinic - Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH511313-04
Medicare Provider Number
511313
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/10/2023
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
6952 Coal River Road
Comfort, WV 25049
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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