Organization
STATE OF WEST VIRGINIA WELCH EMERGENCY HOSPITAL
Active
Other names
Welch Community Hospital-MDGRP
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SIMPSON (CEO)
(304) 436-8680
Entity
Organization
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8708
(304) 436-8716
Mailing address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8708
(304) 436-8716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025528
DR. SULTAN-BCBS
WV
01
—
001722927
DR. TUMBOKON-BCBS
WV
05
—
0093834000
—
WV
05
—
0094692000
—
WV
05
—
0094796000
—
WV
Enumeration date
01/24/2007
Last updated
04/02/2020
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