Healthcare Provider Details

I. General information

NPI: 1407930639
Provider Name (Legal Business Name): WEBSTER COUNTY MEMORIAL HOSPTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 MILLER MOUNTAIN DR
WEBSTER SPRINGS WV
26288-1026
US

IV. Provider business mailing address

324 MILLER MOUNTAIN DR
WEBSTER SPRINGS WV
26288-1026
US

V. Phone/Fax

Practice location:
  • Phone: 304-847-5682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ALISHA DANCY
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 304-847-5682