Organization
WEIRTON MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA PERRY (ADMINISTRATION)
(304) 797-6359
Entity
Organization
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6313
Mailing address
PO BOX 2768, WEIRTON, WV 26062-1968
(304) 723-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619921947
—
WV
05
—
9298808
—
OH
Enumeration date
06/08/2007
Last updated
08/23/2011
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