Organization
HIGHLAND CLARKSBURG HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY GIAQUINTO (CONTROLLER)
(304) 969-3100
Entity
Organization
Contact information
Practice address
3 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 969-3100
Mailing address
3 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 969-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
283Q00000X
Psychiatric Hospital
—
WV
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710317276
—
WV
Enumeration date
11/20/2013
Last updated
06/06/2014
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