Organization
WEIRTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ENDRICH (CEO)
(304) 797-6136
Entity
Organization
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
120
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001352007
—
WV
Enumeration date
01/10/2008
Last updated
01/25/2008
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