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Organization
SUMMERSVILLE REGIONAL MEDICAL CENTER
Active
Organization
SUMMERSVILLE REGIONAL MEDICAL CENTER
Active
Other names
Summersville Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ALICE KINCELL (REVENUE CYCLE DIRECTOR)
(304) 883-0252
Entity
Organization
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-2891
(304) 872-6854
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-2891
(304) 872-6854
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
61
WV
314000000X
Skilled Nursing Facility
61
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001243001
—
WV
Enumeration date
10/25/2005
Last updated
12/21/2016
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