Organization
REYNOLDS MEMORIAL HOSPITAL, INC.
Active
Parent organization
REYNOLDS MEMORIAL HOSPITAL, INC.
Other names
Reynolds Memorial Hospital Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
REYNOLDS MEMORIAL HOSPITAL, INC.
Authorized official
JOHN A. SICURELLA (CEO)
(304) 843-3379
Entity
Organization
Contact information
Practice address
800 WHEELING AVE, 2ND FLOOR, GLEN DALE, WV 26038-1660
(304) 853-3379
Mailing address
800 WHEELING AVE, 2ND FLOOR, GLEN DALE, WV 26038-1660
(304) 853-3379
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
OP0551193
WV
3336H0001X
Home Infusion Therapy Pharmacy
Primary
OP0551193
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001309003
—
WV
01
—
001748043
MT. STATE BCBS
WV
01
—
INF045
UPPER OHIO VALLEY HP PROV
WV
Enumeration date
06/25/2007
Last updated
08/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us