Organization
CITY OF SISTERSVILLE
Active
Parent organization
CITY OF SISTERSVILLE
Other names
St. Marys Express Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF SISTERSVILLE
Authorized official
BRANDON W CHADOCK (AO)
(304) 652-2611
Entity
Organization
Contact information
Practice address
201 2ND ST, SAINT MARYS, WV 26170-1003
(681) 612-3501
(681) 612-3504
Mailing address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 652-2611
(304) 652-1448
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
10/21/2020
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