Organization
SUMMERSVILLE REGIONAL MEDICAL CENTER
Active
Other names
Summersville Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ALICE KINCELL (REVENUE CYCLE DIRECTOR)
(304) 883-0252
Entity
Organization
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-2891
(304) 872-6854
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-2891
(304) 872-6854
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
61
WV
314000000X
Skilled Nursing Facility
61
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001243001
—
WV
Enumeration date
10/25/2005
Last updated
12/21/2016
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