Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Other names
Middle Island Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN SZEWCZYK (CFO)
(304) 455-8013
Entity
Organization
Contact information
Practice address
100 FAIR AVE, MIDDLEBOURNE, WV 26149-9622
(304) 758-5100
(304) 758-4646
Mailing address
PO BOX 244, NEW MARTINSVILLE, WV 26155-0244
(304) 455-8006
(304) 455-8075
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001221009
—
WV
Enumeration date
02/01/2007
Last updated
07/18/2012
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