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Organization

ST MARY'S HOSPITALIST SERVICES, LLC

Active
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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
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8887
(304) 691-8591

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
09/01/2026
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