# WETZEL COUNTY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750326880
- **Authorized official:** MR. VINCENT T GREENE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (304) 455-8195

## Contact information

- **Practice address:** 3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
- **Practice address phone:** (304) 455-8000
- **Practice address fax:** (304) 455-4259
- **Mailing address:** 3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
- **Mailing address phone:** (304) 455-8000
- **Mailing address fax:** (304) 455-4259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 95 | WV | Yes |
| 291U00000X | Clinical Medical Laboratory | 51D0236097 | NULL | — |
| 291U00000X | Clinical Medical Laboratory | 51D0236097 | WV | — |
| 3336I0012X | Institutional Pharmacy | IP0550703 | NULL | — |
| 3336I0012X | Institutional Pharmacy | IP0550703 | WV | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 04/08/2020

## 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 | — |