NPIMap

Marietta Memorial Hospital of Tyler County Inc

A Medicare group practice based in Sistersville, WV: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4385055342), with 59 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385055342The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Hospice, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WV
Enrollments
8
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 4 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20201211002838 WV Part A Provider - Critical Access Hospital 1730788399
O20201211002790 WV Part A Provider - Hospice 1245839802
O20201211002702 WV Part A Provider - Critical Access Hospital 1811595192
O20201210003158 WV Part A Provider - Rural Health Clinic 1508465162
O20210208000388 WV Part A Provider - Rural Health Clinic 1598364168
O20201218002507 WV Part A Provider - Rural Health Clinic 1437758034
O20210601001753 WV Part B Supplier - Clinic/Group Practice 1811595192
O20250421002345 WV Part A Provider - Rural Health Clinic 1972302388

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 59

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (17).

Sources for this page