Organization
ST MARY'S HOSPITALIST SERVICES, LLC
Active
Parent organization
ST MARY'S MEDICAL MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARY'S MEDICAL MANAGEMENT, LLC
Authorized official
MARK MORGAN (COO)
(304) 528-4600
Entity
Organization
Contact information
Practice address
2900 1ST AVE RM 1025, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
(304) 733-3143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WV
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287928
UNISON
OH
05
—
3012751
—
OH
05
—
3810016162
—
WV
01
—
613918805
BLACK LUNG/FECA
WV
Enumeration date
08/13/2009
Last updated
05/16/2025
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