# WETZEL COUNTY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Grove Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326186586
- **Authorized official:** BRIAN FELICI (CEO)
- **Authorized official phone:** (304) 455-8000

## Contact information

- **Practice address:** 12960 SHORTLINE HWY, PINE GROVE, WV 26419
- **Practice address phone:** (304) 889-3344
- **Practice address fax:** (304) 889-3366
- **Mailing address:** P.O. BOX 244, NEW MARTINSVILLE, WV 26155-2705
- **Mailing address phone:** (304) 455-8000
- **Mailing address fax:** (304) 455-4259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | WV | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/14/2017