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General NPI Number Information
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NPI Number | 1316918543
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Entity Type | Organization
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Legal Business Name | ST MARYS MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2900 FIRST AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702
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Country | US
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Telephone | 304-526-1014
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Fax | 304-526-1021
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Provider Business Mailing Address
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Address Line | 2900 FIRST AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702
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Country | US
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Telephone | 304-526-1014
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Fax | 304-526-1021
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Authorized Official
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Title or Position | COO
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Name | ANGELA SWEAR
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Credential |
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Telephone | 304-526-1224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 46
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License Number State | WV
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