MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC NPI 1508465162

NPI Information

NPI: 1508465162
Provider Name: MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

Doing Business As: SISTERSVILLE GENERAL MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
100 FAIR ST
MIDDLEBOURNE, WV
ZIP 26149
Phone: (304) 758-5000
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MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC is a rural health clinic center in Middlebourne, WV. MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC NPI is 1508465162. The provider is registered as an organization entity type.
The provider Is Doing Business As Sistersville General Medical Center.

The provider's business location address is:

100 FAIR ST
MIDDLEBOURNE, WV
ZIP 26149-525
Phone: (304) 758-5000
Fax: (304) 758-5022

The provider's authorized official is Paul Westbrock .
The authorized official title is Vp, Legal Affairs and has the following contact phone number (740) 374-1581.

The CLIA number assigned to this NPI record is 51D1073364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 5/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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