OrganizationActive
Boone Memorial Hospital, Inc
NPI 1417839911 · Rural Health Clinic/Center · Nellis, WV
Provider details
- NPI number
- 1417839911
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Malcolm, Cfo/Admin(304) 369-1230
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
62 Fork Creek Rd
Nellis, WV 25142-9737
Phone: (304) 369-1230
Fax: (304) 369-6036
Street-level locationGet directions
Mailing address
701 Madison Ave
Madison, WV 25130-1669
Other names (DBA / former)
- Doing business as
- Bmh Nellis Clinic
Registry dates
- Enumerated
- 2025-07-24
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.