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General NPI Number Information
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NPI Number | 1326115221
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Entity Type | Organization
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Legal Business Name | WETZEL COUNTY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 3 E BENJAMIN DR
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City | NEW MARTINSVILLE
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State | WV
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Zip | 26155-2705
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Country | US
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Telephone | 304-455-8000
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Fax | 304-455-4259
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Provider Business Mailing Address
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Address Line | 3 E BENJAMIN DR
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City | NEW MARTINSVILLE
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State | WV
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Zip | 26155-2705
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Country | US
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Telephone | 304-455-8000
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Fax | 304-455-4259
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. VINCENT T GREENE
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Credential |
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Telephone | 304-455-8195
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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 | 95
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License Number State | WV
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