Organization
CITY OF SISTERSVILLE
Active
Other names
Sistersville General Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON W CHADOCK (AO)
(304) 652-2611
Entity
Organization
Contact information
Practice address
100 FAIR ST, MIDDLEBOURNE, WV 26149-9525
(304) 447-2471
(304) 447-2471
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
513413
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018302
—
WV
Enumeration date
04/20/2010
Last updated
10/21/2020
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