Provider Demographics
NPI:1720382732
Name:WETZEL COUNTY HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:WETZEL COUNTY HOSPITAL ASSOCIATION
Other - Org Name:WOODSFIELD RURAL HEALTH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:304-455-8013
Mailing Address - Street 1:3 E BENJAMIN DR
Mailing Address - Street 2:WETZEL COUNTY HOSPITAL
Mailing Address - City:NEW MARTINSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26155-2705
Mailing Address - Country:US
Mailing Address - Phone:304-455-8114
Mailing Address - Fax:304-455-4259
Practice Address - Street 1:45325 STATE ROUTE 78
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9440
Practice Address - Country:US
Practice Address - Phone:740-472-1879
Practice Address - Fax:304-472-5367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WETZEL COUNTY HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health