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NPI Code Detail

MEDICARE: WETZEL COUNTY HOSPITAL ASSOCIATION

MEDICARE: WETZEL COUNTY HOSPITAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225176563
Entity Type Code : Organization
Provider Name (Legal Business Name) : WETZEL COUNTY HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : PO BOX 244
Second Line :
City : NEW MARTINSVILLE
State : WV
Zip : 26155-0244
Country : US
Telephone Number : 304-455-8006
Fax Number : 304-455-8075
Provider Business Practice Location Address
First Line : 150 PADUCAH DRIVE
Second Line :
City : NEW MARTINSVILLE
State : WV
Zip : 26155-2710
Country : US
Telephone Number : 304-455-8190
Fax Number : 304-455-8131
Authorized Official
Title or Position : CFO
Name : MR. EDWIN SZEWCZYK
Credential :
Telephone Number : 304-455-8013
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/18/2012

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Directions to “WETZEL COUNTY HOSPITAL ASSOCIATION ” Practice Location

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