Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of West Virginia

Organization Nursing Facility/Intermediate Care Facility · NPI 1619969706

State of West Virginia is a Nursing Facility/Intermediate Care Facility in Beckley, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005

Practice location Address checks out

105 S Eisenhower Dr
Beckley, WV 25801-4929
Phone: (304) 256-6600
Fax: (304) 250-6554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 181 (WV)

Record details

NPI number1619969706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Parent — Chief Financial Officer · (304) 256-6600
Other names Jackie Withrow Hospital
NPI enumeratedAugust 16, 2005
Last updated in NPPESFebruary 5, 2010
Mailing address105 S Eisenhower Dr, Beckley, WV 25801-4929

Other providers in Beckley