Provider Demographics
NPI:1548993603
Name:MINNIE HAMILTON HEALTH CARE CENTER INC
Entity type:Organization
Organization Name:MINNIE HAMILTON HEALTH CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WHITED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-354-9735
Mailing Address - Street 1:186 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26147-7100
Mailing Address - Country:US
Mailing Address - Phone:304-354-5978
Mailing Address - Fax:304-354-5963
Practice Address - Street 1:80 SPRING RUN ROAD
Practice Address - Street 2:
Practice Address - City:ARNOLDSBURG
Practice Address - State:WV
Practice Address - Zip Code:25234
Practice Address - Country:US
Practice Address - Phone:304-354-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINNIE HAMILTON HEALTH CARE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-06
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health