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MARIETTA CRITICAL CARE ASSOCIATES INC NPI 1184680563


NPI Information

NPI: 1184680563
Provider Name: MARIETTA CRITICAL CARE ASSOCIATES INC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
600 18TH ST
STE 131
PARKERSBURG, WV
ZIP 26101
Phone: (304) 424-4680
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MARIETTA CRITICAL CARE ASSOCIATES INC is a critical care medicine internal medicine in Parkersburg, WV. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. MARIETTA CRITICAL CARE ASSOCIATES INC NPI is 1184680563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 18TH ST
STE 131
PARKERSBURG, WV
ZIP 26101
Phone: (304) 424-4680
Fax: (304) 424-4773

The provider's authorized official is Terrence A Gilbert .
The authorized official title is President and has the following contact phone number (304) 424-4680.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1211020OTHEROHIOBCBS
2=========00OTHEROHIOBWC
3CH5486OTHEROHIORAILROAD MEDICARE
49313361MEDICARE PIN
52257507MEDICAIDOHIO
60208846000MEDICAIDWEST VIRGINIA
79313363MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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