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Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT T GREENE (DIRECTOR OF OPERATIONS)
(304) 455-8195
Entity
Organization
Contact information
Practice address
3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
(304) 455-4259
Mailing address
3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
(304) 455-4259
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
95
WV
291U00000X
Clinical Medical Laboratory
51D0236097
NULL
291U00000X
Clinical Medical Laboratory
51D0236097
WV
3336I0012X
Institutional Pharmacy
IP0550703
NULL
3336I0012X
Institutional Pharmacy
IP0550703
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001221000
—
WV
01
—
000324362
BC/BS PROVIDER #
—
05
—
9370345
—
OH
01
—
N015
HEALTH PLAN OF UPPER OH V
—
Enumeration date
06/20/2006
Last updated
04/08/2020
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