Organization
HOSPITAL DEVELOPMENT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG BENTZ (CEO)
(304) 927-6200
Entity
Organization
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
(304) 927-6837
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
(304) 927-6807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
74
WV
207P00000X
Emergency Medicine Physician
Primary
74
WV
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
74
WV
207R00000X
Internal Medicine Physician
74
WV
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
74
WV
208000000X
Pediatrics Physician
74
WV
208600000X
Surgery Physician
74
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123058002
—
WV
Enumeration date
09/20/2006
Last updated
01/16/2018
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