Provider Demographics
NPI:1043243322
Name:PRINCETON COMMUNITY HOSPITAL HOME HEALTH
Entity Type:Organization
Organization Name:PRINCETON COMMUNITY HOSPITAL HOME HEALTH
Other - Org Name:PCH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DOWNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-487-2333
Mailing Address - Street 1:203 12TH STREET EXT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2329
Mailing Address - Country:US
Mailing Address - Phone:304-487-2333
Mailing Address - Fax:304-487-3082
Practice Address - Street 1:203 12TH STREET EXT
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2329
Practice Address - Country:US
Practice Address - Phone:304-487-2333
Practice Address - Fax:304-487-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV104251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health