# MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
- **Other names:** Dept of Primary Care 424
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972302388
- **Legal business name:** MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
- **Authorized official:** PAUL G WESTBROCK (VP LEGAL AFFAIRS)
- **Authorized official phone:** (740) 374-1581

## Contact information

- **Practice address:** 424 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1249
- **Practice address phone:** (740) 568-4190
- **Practice address fax:** (740) 568-4195
- **Mailing address:** 314 S WELLS ST, SISTERSVILLE, WV 26175-1098

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 04/01/2025