Organization
JEFFERSON MEMORIAL HOSPITAL
Active
Parent organization
WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC
Other names
Jefferson Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY HOSPITALS EAST INC
Authorized official
KATHLEEN R QUINONES (INTERIM VP FINANCE)
(304) 260-1443
Entity
Organization
Contact information
Practice address
300 S. PRESTON STREET, RANSON, WV 25438-1631
(304) 728-1600
(304) 725-9492
Mailing address
PO BOX 1170, MORGANTOWN, WV 26507-1170
(304) 598-6795
(304) 598-6381
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
103
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000304490
BLUE CROSS BLUE SHIELD
WV
05
—
005100682
—
VA
05
—
005805000
—
MD
05
—
3810004211
—
WV
Enumeration date
06/28/2006
Last updated
10/12/2023
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