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BOONE MEMORIAL HOSPITAL, INC
NPI 1417839911
Clinic/Center - Rural Health in Nellis, WV

Active since July 24, 2025
62 FORK CREEK RD, NELLIS, WV 25142(304) 369-1230(304) 369-6036 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boone Memorial Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOONE MEMORIAL HOSPITAL, INC (NPI 1417839911), doing business as Bmh Nellis Clinic, is a healthcare organization registered as a rural health in Nellis, West Virginia and active in the NPI registry since July 2025. The organization lists Douglas Cole Malcolm, Cfo/admin, as its authorized official.

NPPES Registry Identity

NPI1417839911
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOONE MEMORIAL HOSPITAL, INC
Location Address62 FORK CREEK RDNellis, WV 25142-9737
Mailing Address701 Madison AveMadison, WV 25130-1669 · (304) 369-1230 · Fax (304) 369-6036
Phone(304) 369-1230
Fax(304) 369-6036
Organization SubpartNo
Authorized OfficialDouglas Cole MalcolmCfo/admin · (304) 369-1230
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1417839911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
62 FORK CREEK RD, Nellis, WV 25142
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Other Names 1

Doing Business AsBmh Nellis Clinic

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

REBECCA RUBY BARKER FNP-BC
Nurse Practitioner (Family)
62 FORK CREEK RD
NELLIS, WV 25142
Boone County (304) 833-0815
COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
Nurse Practitioner (Family)
62 FORK CREEK RD
NELLIS, WV 25142
Boone County (304) 833-0815

Frequently Asked Questions

What is BOONE MEMORIAL HOSPITAL, INC's NPI number?

The NPI number assigned to this healthcare provider is 1417839911, enumerated as an "organization" on July 24, 2025.

Where is the provider located?

The provider is located at 62 FORK CREEK RD NELLIS, WV 25142 and the phone number is (304) 369-1230.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.