Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT T GREENE (DIRECTOR OF OPERATIONS)
(304) 455-8195
Entity
Organization
Contact information
Practice address
3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
(304) 455-4259
Mailing address
3 EAST BENJAMIN DRIVE, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
(304) 455-4259
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
95
WV
291U00000X
Clinical Medical Laboratory
51D0236097
WV
291U00000X
Clinical Medical Laboratory
51D0236097
—
3336I0012X
Institutional Pharmacy
IP0550703
WV
3336I0012X
Institutional Pharmacy
IP0550703
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001221000
—
WV
01
—
000324362
BC/BS PROVIDER #
—
05
—
9370345
—
OH
01
—
N015
HEALTH PLAN OF UPPER OH V
—
Enumeration date
06/20/2006
Last updated
04/08/2020
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