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General NPI Number Information
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NPI Number | 1750326880
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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 | 06/20/2006
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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 EAST BENJAMIN DRIVE
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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 EAST BENJAMIN DRIVE
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | IP0550703
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | IP0550703
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 51D0236097
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License Number State |
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 51D0236097
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 95
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License Number State | WV
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