Provider Demographics
NPI:1891732889
Name:CHARLESTON HOSPITAL INC.
Entity Type:Organization
Organization Name:CHARLESTON HOSPITAL INC.
Other - Org Name:SAINT FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-347-6663
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25322-0471
Mailing Address - Country:US
Mailing Address - Phone:304-347-6500
Mailing Address - Fax:304-347-6885
Practice Address - Street 1:333 LAIDLEY ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1614
Practice Address - Country:US
Practice Address - Phone:304-347-6500
Practice Address - Fax:304-347-6885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0030147OtherBCBS
OH2010531Medicaid
NY01510163Medicaid
WV0001040000Medicaid
NY01510163Medicaid