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CITY OF SISTERSVILLE NPI 1538485230


NPI Information

NPI: 1538485230
Provider Name: CITY OF SISTERSVILLE

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) 447-2471
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CITY OF SISTERSVILLE is a rural health clinic center in Middlebourne, WV. CITY OF SISTERSVILLE NPI is 1538485230. 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) 447-2471
Fax: (304) 447-2471

The provider's authorized official is Brandon W Chadock .
The authorized official title is Ao and has the following contact phone number (304) 652-2611.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 10/21/2020.


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
1261QR1300XClinic/CenterRural Health513413WEST VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810018302MEDICAIDWEST VIRGINIA

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

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