Organization
WEIRTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPTH P ENDRICH MD (CEO)
(304) 797-6136
Entity
Organization
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
120
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510023
COVENTRY PRODUCTS
—
05
—
9298808
—
OH
Enumeration date
12/12/2006
Last updated
08/22/2020
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