Healthcare Provider Details

I. General information

NPI: 1710697040
Provider Name (Legal Business Name): HOSPITAL DEVELOPMENT CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL DR
SPENCER WV
25276-1050
US

IV. Provider business mailing address

200 HOSPITAL DR
SPENCER WV
25276-1050
US

V. Phone/Fax

Practice location:
  • Phone: 304-927-4444
  • Fax: 304-927-6224
Mailing address:
  • Phone: 304-927-4444
  • Fax: 304-927-6224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS E BENTZ
Title or Position: CEO
Credential:
Phone: 304-927-6200